MEDICARE: ALAN M 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	207RN0300X	Nephrology Physician	014115	NY

General Provider Information

NPI Number	:	1518938026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN M WEINSTEIN MD

Provider Business Mailing Address
First Line	:	1300 YORK AVE WEILL MEDICAL COLLEGE
Second Line	:	BOX 3 DIVISION OF NEPHROLOGY
City	:	NEW YORK
State	:	NY
Zip	:	10017
Country	:	US
Telephone Number	:	212-746-4027
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 E 70TH ST
Second Line	:	SECOND FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10021-4872
Country	:	US
Telephone Number	:	212-746-4027
Fax Number	:

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

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	07/08/2007

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