Provider Demographics
NPI:1932289006
Name:WEINSTEIN, PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
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 1:456 GLENBROOK RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06906-1800
Mailing Address - Country:US
Mailing Address - Phone:203-324-6332
Mailing Address - Fax:203-324-6338
Practice Address - Street 1:456 GLENBROOK RD
Practice Address - Street 2:SUITE 6
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06906-1800
Practice Address - Country:US
Practice Address - Phone:203-324-6332
Practice Address - Fax:203-324-6338
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT379111N00000X
NYNY3025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T22157Medicare UPIN