Provider Demographics
NPI:1730406786
Name:WEINSTEIN, JODI JAY (MD)
Entity type:Individual
Prefix:DR
First Name:JODI
Middle Name:JAY
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1051 RIVERSIDE DR
Mailing Address - Street 2:NEW YORK STATE PSYCHIATRIC INSTITUTE, UNIT 31, RM 6110
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1007
Mailing Address - Country:US
Mailing Address - Phone:646-774-8123
Mailing Address - Fax:
Practice Address - Street 1:1051 RIVERSIDE DR
Practice Address - Street 2:NEW YORK STATE PSYCHIATRIC INSTITUTE, UNIT 31, RM 6110
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1007
Practice Address - Country:US
Practice Address - Phone:646-774-8123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2761742084P0800X
TN505122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04534474Medicaid