Provider Demographics
NPI:1558446237
Name:WEINDORF, STANLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:
Last Name:WEINDORF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 TERMINAL DR
Mailing Address - Street 2:STE 2
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-2312
Mailing Address - Country:US
Mailing Address - Phone:516-576-0202
Mailing Address - Fax:516-576-8872
Practice Address - Street 1:202 TERMINAL DR
Practice Address - Street 2:STE 2
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-2312
Practice Address - Country:US
Practice Address - Phone:516-576-0202
Practice Address - Fax:516-576-8872
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY137691208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics