Waldman, Justine L

Waldman, Justine L is an individual health care provider with primary practice located at 101 Dates Dr , Ithaca NY 14850-1342. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Waldman, Justine L can be contacted via phone (607) 274-4150.

Contact Information

Primary practice address
101 Dates Dr Ithaca NY 14850-1342
Phone: (607) 274-4150
Fax: (607) 274-4132
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 225677 New York

Profile Details

NPI number 1659471845
LBN Legal business name Waldman, Justine L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Mar 7th, 2023 - about last year

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 1659471845 NPPES
Other 00220092 ABEM
MEDICAID 02298626 ABEM
Other A70878 ABEM
Other 225677 ABEM

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