Provider Demographics
NPI:1467629188
Name:WEINSTEIN, JOSEPH ELLIOT (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ELLIOT
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6254 97TH PL STE 2C
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1354
Mailing Address - Country:US
Mailing Address - Phone:718-313-0766
Mailing Address - Fax:
Practice Address - Street 1:6254 97TH PL STE 2C
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1354
Practice Address - Country:US
Practice Address - Phone:718-313-0766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY254165207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery