MEDICARE: DR. RICHARD N WEINSTEIN MD

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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	195436	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265449888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD N WEINSTEIN MD

Provider Business Mailing Address
First Line	:	190 GOLDENS BRIDGE RD
Second Line	:
City	:	KATONAH
State	:	NY
Zip	:	10536-2810
Country	:	US
Telephone Number	:	914-401-8053
Fax Number	:

Provider Business Practice Location Address
First Line	:	1133 WESTCHESTER AVE
Second Line	:	SUITE N008
City	:	WHITE PLAINS
State	:	NY
Zip	:	10604-3516
Country	:	US
Telephone Number	:	914-358-9700
Fax Number	:	914-696-3609

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	06/28/2013

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