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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023065430 | NPPES |
| New York | MEDICAID | 00648522 |
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