Healthcare Provider Details

I. General information

NPI: 1578793295
Provider Name (Legal Business Name): STEVEN WEINSTEIN D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2009
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 MAMARONECK AVE
HARRISON NY
10528-1634
US

IV. Provider business mailing address

224 HOLLAND AVE
ELMONT NY
11003-1630
US

V. Phone/Fax

Practice location:
  • Phone: 914-630-2833
  • Fax:
Mailing address:
  • Phone: 516-395-5811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number054493
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: