Provider Demographics
NPI:1639162621
Name:WEINSTEIN, ZELIG (MD)
Entity Type:Individual
Prefix:
First Name:ZELIG
Middle Name:
Last Name:WEINSTEIN
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 1:38 WALLENBERG CIR
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-2800
Mailing Address - Country:US
Mailing Address - Phone:845-352-0003
Mailing Address - Fax:845-352-0009
Practice Address - Street 1:38 WALLENBERG CIR
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2800
Practice Address - Country:US
Practice Address - Phone:845-352-0003
Practice Address - Fax:845-352-0009
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1273732085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01094866Medicaid
NYA62173Medicare UPIN
NY01094866Medicaid