Waldman, Jonathan Samuel

Waldman, Jonathan Samuel is an individual health care provider with primary practice located at 1101 Nott St , Schenectady NY 12308-2425. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Waldman, Jonathan Samuel can be contacted via phone (518) 243-4135.

Contact Information

Primary practice address
1101 Nott St Schenectady NY 12308-2425
Phone: (518) 243-4135
Fax: (518) 243-1367
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 224101 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 224101 New York

Profile Details

NPI number 1669415501
LBN Legal business name Waldman, Jonathan Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Apr 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669415501 NPPES
New York MEDICAID 02675794

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