National Provider Identifier
Jennifer Weinraub, MD
Jennifer Weinraub, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Ithaca, NY and a listed phone number of (607) 273-4166.
Profile Overview
- NPI
- 1902807407
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- August 09, 2005
- Last Updated
- October 10, 2012
Practice Location
- 318 S Albany St
- Beechtree Care Center
- Ithaca, NY 14850-5406
Phone: (607) 273-4166
Mailing Address
- 121 Cayuga Park RD
- Ithaca, NY 14850-1405
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1902807407
- Entity Type
- Individual
- Last Name
- Weinraub
- First Name
- Jennifer
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 121 Cayuga Park RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1405
- Mailing Country
- US
- Mailing Phone
- (607) 592-6603
- Practice Street Address
- 318 S Albany St
- Practice Address Line 2
- Beechtree Care Center
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5406
- Practice Country
- US
- Practice Phone
- (607) 273-4166
- Enumeration Date
- August 09, 2005
- Last Updated
- October 10, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 01831149 (NY)