Individual
DR. JENNIFER WEINRAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
318 S ALBANY ST, BEECHTREE CARE CENTER, ITHACA, NY 14850-5406
(607) 273-4166
Mailing address
121 CAYUGA PARK RD, ITHACA, NY 14850-1405
(607) 592-6603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
170781
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01831149
—
NY
Enumeration date
08/09/2005
Last updated
10/10/2012
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