Healthcare Provider Details

I. General information

NPI: 1447312459
Provider Name (Legal Business Name): MICHAEL DAVID WEINSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 STATION PLAZA NORTH SUITE 400
MINEOLA NY
11501
US

IV. Provider business mailing address

222 STATION PLAZA NORTH SUITE 400
MINEOLA NY
11501
US

V. Phone/Fax

Practice location:
  • Phone: 516-663-2834
  • Fax: 516-663-4696
Mailing address:
  • Phone: 516-663-2834
  • Fax: 516-663-4696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number183226
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number183226
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number183226
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: