Healthcare Provider Details

I. General information

NPI: 1366306326
Provider Name (Legal Business Name): EMILY NICOLE WEINSTEIN OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2804 BROADWAY
NEW YORK NY
10025-2236
US

IV. Provider business mailing address

62 W 71ST ST APT 1A
NEW YORK NY
10023-4241
US

V. Phone/Fax

Practice location:
  • Phone: 212-222-6525
  • Fax: 212-222-6524
Mailing address:
  • Phone: 347-738-0341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number030793-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: