Organization
JEWISH HOME LIFECARE HARRY AND JEANETTE WEINBERG CAMPUS BRONX
Active
Organization
JEWISH HOME LIFECARE HARRY AND JEANETTE WEINBERG CAMPUS BRONX
Active
Other names
Jewish Home Lifecare-Bronx Medical Department
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY WEINER DSW (CEO)
(212) 870-4600
Entity
Organization
Contact information
Practice address
100 W KINGSBRIDGE RD, ATTN MEDICAL DEPT, BRONX, NY 10468-3903
(718) 410-1500
Mailing address
100 W KINGSBRIDGE RD, ATTN MEDICAL DEPT, BRONX, NY 10468-3903
(718) 410-1500
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
7000317N
NY
208100000X
Physical Medicine & Rehabilitation Physician
7000317N
NY
2084P0800X
Psychiatry Physician
7000317N
NY
363L00000X
Nurse Practitioner
7000317N
NY
Other
Enumeration date
11/21/2006
Last updated
04/16/2013
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