Basic Information
Provider Information
NPI: 1114002409
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WEINSHEL
FirstName: SARAH
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 101 SPIER RD
Address2:  
City: SCARSDALE
State: NY
PostalCode: 105837419
CountryCode: US
TelephoneNumber: 9144285454
FaxNumber: 9144285460
Practice Location
Address1: 800 WESTCHESTER AVE
Address2: SUITE S614
City: RYE BROOK
State: NY
PostalCode: 105731354
CountryCode: US
TelephoneNumber: 9144285454
FaxNumber: 9144285460
Other Information
ProviderEnumerationDate: 10/26/2006
LastUpdateDate: 02/09/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X167405NYY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
145417705NY MEDICAID


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