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Individual

JONATHAN WEBER

Active
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Individual

JONATHAN WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005521
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005521-A11
HEALTHFIRST ID#
NY
01
—
009127301
AMERICHOICE #
NY
01
—
0130341
GHI PPO
NY
05
—
01977980
—
NY
01
—
134114612
TAX IDENTIFICATION NUMBER
NY
01
—
2702523
EVERCARE ID#
NY
01
—
5C8712
HEALTHNET
NY
01
—
7772241
AETNA PPO#
NY
01
—
N005521
HIP
NY
01
—
P3711260
OXFORD
NY
01
—
PK8941
EMPIRE BCBS
NY
01
—
WJ5521
ATLANTIS HEALTH PLAN
NY
Enumeration date
02/13/2006
Last updated
10/28/2022
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