Individual
EMILY MICHELLE WEIDENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
17 PEPPERIDGE DR, NEW CITY, NY 10956-6638
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
316908
NY
Other
Enumeration date
04/23/2018
Last updated
09/11/2025
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