MEDICARE: DR. BARRY D WEINSTEIN PH.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	103T00000X	Psychologist	008819-1	NY

General Provider Information

NPI Number	:	1801807854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY D WEINSTEIN PH.D

Provider Business Mailing Address
First Line	:	1884 RAILROAD AVE
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4406
Country	:	US
Telephone Number	:	914-962-1043
Fax Number	:	914-962-8768

Provider Business Practice Location Address
First Line	:	1884 RAILROAD AVE
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4406
Country	:	US
Telephone Number	:	914-962-1043
Fax Number	:	914-962-8768

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

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	07/08/2007

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