Provider Demographics
NPI:1700884178
Name:WEINFELD, GLENN D (DPM)
Entity Type:Individual
Prefix:DR
First Name:GLENN
Middle Name:D
Last Name:WEINFELD
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:CAREMOUNT MEDICAL, PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3446
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-248-4091
Practice Address - Street 1:48 ROUTE 6
Practice Address - Street 2:CAREMOUNT MEDICAL, PC
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-6349
Practice Address - Country:US
Practice Address - Phone:914-241-1050
Practice Address - Fax:914-248-4091
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2016-09-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYN005939213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02706045Medicaid
NYU92148Medicare UPIN
NY02706045Medicaid