Waldman, Jonathan Samuel
Waldman, Jonathan Samuel is an individual health care provider with primary practice located at 1101 Nott St , Schenectady NY 12308-2425. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Waldman, Jonathan Samuel can be contacted via phone (518) 243-4135.Contact Information
Primary practice address
1101 Nott St
Schenectady NY 12308-2425
Phone: (518) 243-4135
Fax: (518) 243-1367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 224101 | New York |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 224101 | New York |
Profile Details
| NPI number | 1669415501 |
|---|---|
| LBN Legal business name | Waldman, Jonathan Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Apr 5th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669415501 | NPPES |
| New York | MEDICAID | 02675794 |
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