Provider Demographics
NPI:1568686756
Name:WEINSTEIN, CHAD (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 ROUTE 17K
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-8343
Mailing Address - Country:US
Mailing Address - Phone:845-567-9190
Mailing Address - Fax:845-567-9197
Practice Address - Street 1:254 ROUTE 17K
Practice Address - Street 2:SUITE 203
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-8343
Practice Address - Country:US
Practice Address - Phone:845-567-9190
Practice Address - Fax:845-567-9197
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010827-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400013116Medicare PIN