Healthcare Provider Details

I. General information

NPI: 1992754360
Provider Name (Legal Business Name): NORMAN K. WEINSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E SPRUCE ST
GARDEN CITY KS
67846-5679
US

IV. Provider business mailing address

99 E STATE ST
GLOVERSVILLE NY
12078-1293
US

V. Phone/Fax

Practice location:
  • Phone: 620-272-2431
  • Fax: 620-272-2101
Mailing address:
  • Phone: 518-773-5393
  • Fax: 518-773-5397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberE-13511
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number240175
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberE-13511
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number04-48292
License Number StateKS
# 5
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME99096
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: