MEDICARE: DR. ANDREW L. WEINSTEIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	280681	NY

General Provider Information

NPI Number	:	1124461447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW L. WEINSTEIN M.D.

Provider Business Mailing Address
First Line	:	655 PARK AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-5937
Country	:	US
Telephone Number	:	212-517-9777
Fax Number	:	212-517-9777

Provider Business Practice Location Address
First Line	:	655 PARK AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-5937
Country	:	US
Telephone Number	:	212-517-9777
Fax Number	:	212-517-9777

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2013
Last Update Date	:	09/26/2022

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