| Organization Name: | CATSKILL ADULT & PED MED |
| NPI Number: | 1548455090 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY ROSS WEINSTEIN (PARTNER) |
| Mailing Address: | 64 Jefferson St Suite 2 Monticello |
| State: | NY US |
| Postal Code: | 127011148 |
| Phone Number: | 8457916400 |
| Fax Number: | 8457916406 |
| NPI Enumeration Date: | 09/07/2007 |
| NPI Last Update Date: | 02/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | WZZRP1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |