# DR. JORDANA WEBER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174897441
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 281031 | NY | — |
| 207Q00000X | Family Medicine Physician | MD458576 | PA | Yes |
| 208M00000X | Hospitalist Physician | 281031 | NY | — |

## Other

- **Enumeration date:** 03/02/2012
- **Last updated:** 10/19/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000426822001 | BLUE SHIELD OF NENY | NY |
| 01 | — | 200314735 | CDPHP | NY |
| 01 | — | 8D5861 | EMPIRE BLUE CROSS | NY |