Healthcare Provider Details

I. General information

NPI: 1114245644
Provider Name (Legal Business Name): TAMARA BETH WEINSTEIN M.S., P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 05/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

272 N BEDFORD RD
MOUNT KISCO NY
10549-1103
US

IV. Provider business mailing address

8 MISTY BROOK LN
NEW FAIRFIELD CT
06812-2308
US

V. Phone/Fax

Practice location:
  • Phone: 914-471-4100
  • Fax:
Mailing address:
  • Phone: 914-261-4097
  • Fax: 914-940-6368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251C2600X
TaxonomyCardiopulmonary Physical Therapist
License Number015058-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number015058-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: