Most Relevant Information
Provider Data
| NPI Number: | 1003452962 |
| Provider Name: | TYLER WEINSTEIN |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 024665 |
Most Important Dates
| Enumeration Date: | 11/25/2019 |
| Last Updated: | 02/04/2020 |
Provider Practice Location
27005 76TH AVE
NEW HYDE PARK
NY
110401402
Practice Location Phone/Fax
| Phone: | 7184707000 |
| Fax: |
Provider Mailing Location
2557 LEFFERTS PL
BELLMORE
NY
117104420
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |