Weinraub, Jennifer

Weinraub, Jennifer is an sole proprietor health care provider with primary practice located at 318 S Albany St Beechtree Care Center, Ithaca NY 14850-5406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Weinraub, Jennifer can be contacted via phone (607) 273-4166.

Contact Information

Primary practice address
318 S Albany St Beechtree Care Center Ithaca NY 14850-5406
Phone: (607) 273-4166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 170781 New York

Profile Details

NPI number 1902807407
LBN Legal business name Weinraub, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Oct 10th, 2012 - about 13 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 1902807407 NPPES
New York MEDICAID 01831149

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