National Provider Identifier
Justine L Waldman, MD
Justine L Waldman, MD is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Ithaca, NY and a listed phone number of (607) 274-4150.
Profile Overview
- NPI
- 1659471845
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- September 25, 2006
- Last Updated
- March 07, 2023
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1342
Phone: (607) 274-4150
Specialties
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1659471845
- Entity Type
- Individual
- Last Name
- Waldman
- First Name
- Justine
- Middle Name
- L
- Credential
- MD
- Mailing Street Address
- 101 Dates Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1342
- Mailing Country
- US
- Mailing Phone
- (607) 274-4150
- Mailing Fax
- (607) 274-4132
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1342
- Practice Country
- US
- Practice Phone
- (607) 274-4150
- Practice Fax
- (607) 274-4132
- Enumeration Date
- September 25, 2006
- Last Updated
- March 07, 2023
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X)
- Other Identifiers
- 00220092 (Abem), 02298626 (NY), A70878 (CA, State License), 225677 (NY, State License)