MEDICARE: DR. DEBORAH R WEINSTOCK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist		NY
2	103T00000X	Psychologist

General Provider Information

NPI Number	:	1487956207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH R WEINSTOCK

Provider Business Mailing Address
First Line	:	2715 NARATH CT
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-3113
Country	:	US
Telephone Number	:	914-245-9585
Fax Number	:

Provider Business Practice Location Address
First Line	:	2715 NARATH CT
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-3113
Country	:	US
Telephone Number	:	914-245-9585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2010
Last Update Date	:	11/30/2010

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