| Gerald Steven Weinstein | |
|
228 Sherman St Watertown NY 13601-3612 | |
| (315) 788-9849 | |
| (315) 788-9458 |
| Full Name | Gerald Steven Weinstein |
|---|---|
| Speciality | Internal Medicine |
| Location | 228 Sherman St, Watertown, New York |
| Authorized Official Name and Position | Sue E Storino (OFFICE MANAGER) |
| Authorized Official Contact | 3157889849 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Steven Weinstein 228 Sherman St Watertown NY 13601-3612 Ph: (315) 788-9849 | Gerald Steven Weinstein 228 Sherman St Watertown NY 13601-3612 Ph: (315) 788-9849 |
| NPI Number | 1003973421 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 06/17/2008 |
| Medicare PECOS PAC ID | 5597947754 |
|---|---|
| Medicare Enrollment ID | O20110309000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003973421 | NPI | - | NPPES |
| 00816353 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 144232 (New York) | Primary |
| Provider Name | Gerald Steven Weinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265423081 PECOS PAC ID: 8022290287 Enrollment ID: I20110309000177 |
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