Provider Demographics
NPI:1770508947
Name:WEINSTEIN, ALAN S (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:S
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 1:1122 OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-1975
Mailing Address - Country:US
Mailing Address - Phone:718-434-5600
Mailing Address - Fax:718-343-5638
Practice Address - Street 1:1122 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1975
Practice Address - Country:US
Practice Address - Phone:718-434-5600
Practice Address - Fax:718-343-5638
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY087467174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY232091OtherUNITEDHEALTHCARE PPO/EPO
NYOXFORDOtherKS740
NY00334432Medicaid
NY112713OtherUNITEDHEALTHCARE HMO
NY379661OtherBLUE CROSS/BLUE SHIELD
NYAETNAOther4533126
NY232091OtherUNITEDHEALTHCARE PPO/EPO
NYOXFORDOtherKS740