Healthcare Provider Details

I. General information

NPI: 1538681333
Provider Name (Legal Business Name): YEHUDIT WEINSTOCK SR.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2017
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 STATE ROUTE 17M STE C
HARRIMAN NY
10926-3245
US

IV. Provider business mailing address

68 JEFFERSON ST
HIGHLAND MILLS NY
10930-2726
US

V. Phone/Fax

Practice location:
  • Phone: 845-782-6775
  • Fax:
Mailing address:
  • Phone: 845-248-7279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberP06652
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: