Weinbaum, Frederic

Weinbaum, Frederic is an individual health care provider with primary practice located at 5645 Main St Rm-M204, Flushing NY 11355-5045. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Weinbaum, Frederic can be contacted via phone (718) 445-0220.

Contact Information

Primary practice address
5645 Main St Rm-M204 Flushing NY 11355-5045
Phone: (718) 445-0220
Fax: (718) 939-1167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 137911 New York
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 137911 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 137911 New York

Profile Details

NPI number 1023065430
LBN Legal business name Weinbaum, Frederic
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Mar 6th, 2008 - about 16 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 1023065430 NPPES
New York MEDICAID 00648522

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