Dr Lisa R Weinstock, MD | |
79 Chestnut St, Ridgewood, NJ 07450-2563 | |
(201) 444-4484 | |
(201) 444-4148 |
Full Name | Dr Lisa R Weinstock |
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Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 79 Chestnut St, Ridgewood, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871506485 | NPI | - | NPPES |
195211 | Other | NY | NYS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 25MA05610100 (New Jersey) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 195211 (New York) | Primary |
Entity Name | Trustees Of Columbia University In The City Of New York |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508266347 PECOS PAC ID: 8527972546 Enrollment ID: O20151201002613 |
Entity Name | Columbiadoctors/newyork-presbyterianimaging |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902345986 PECOS PAC ID: 6608141981 Enrollment ID: O20171012002443 |
Mailing Address | Practice Location Address |
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Dr Lisa R Weinstock, MD 79 Chestnut St, Ridgewood, NJ 07450-2563 Ph: (201) 444-4484 | Dr Lisa R Weinstock, MD 79 Chestnut St, Ridgewood, NJ 07450-2563 Ph: (201) 444-4484 |
David Greenblatt, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-634-5403 Fax: 201-634-5765 | |
Michael Joseph Lombino, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000 | |
Chad M Deyoung, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-634-5403 Fax: 201-252-8472 | |
Michael Wesson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-634-5403 Fax: 201-252-8472 |