Provider Demographics
NPI:1912378829
Name:GILA R. WEINSTEIN MD, P.C
Entity type:Organization
Organization Name:GILA R. WEINSTEIN MD, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAYTSEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-452-9804
Mailing Address - Street 1:6010 BAY PKWY STE 804
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-6081
Mailing Address - Country:US
Mailing Address - Phone:212-452-9804
Mailing Address - Fax:888-749-9138
Practice Address - Street 1:6010 BAY PKWY STE 804
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-6081
Practice Address - Country:US
Practice Address - Phone:212-452-9804
Practice Address - Fax:888-749-9138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 124679208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty