Provider Demographics
NPI:1609955103
Name:L&W MEDICAL CARE PC
Entity Type:Organization
Organization Name:L&W MEDICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEON
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-575-8787
Mailing Address - Street 1:10837 71ST AVE
Mailing Address - Street 2:UNIT PO2
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4566
Mailing Address - Country:US
Mailing Address - Phone:718-575-8787
Mailing Address - Fax:718-575-8789
Practice Address - Street 1:10837 71ST AVE
Practice Address - Street 2:UNIT PO2
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4566
Practice Address - Country:US
Practice Address - Phone:718-575-8787
Practice Address - Fax:718-575-8789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty