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Jonathan Weber, DPM
Podiatrist in Staten Island, New York
NPI 1588638142

Jonathan Weber is a Podiatrist based in Staten Island, NY. Jonathan Weber practices in Staten Island, NY and has the professional credentials of DPM. The NPI Number for Jonathan Weber is 1588638142 and holds a License No. N005521 (New York).

The current practice location address for Jonathan Weber is 2315 Victory Blvd, Staten Island, NY and can be reached out via phone at 718-477-6900 and via fax at 718-983-0352.

Location: 2315 Victory Blvd, Staten Island, NY, 10314-6623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588638142
Provider Name
Jonathan Weber
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2315 Victory Blvd, Staten Island, NY, 10314-6623
Phone Number
718-477-6900
Fax Number
718-983-0352
Provider Enumeration Date
02/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005521-A11 01 NY HEALTHFIRST ID#
2702523 01 NY EVERCARE ID#
009127301 01 NY AMERICHOICE #
01977980 05 NY
P3711260 01 NY OXFORD
0130341 01 NY GHI PPO
5C8712 01 NY HEALTHNET
PK8941 01 NY EMPIRE BCBS
134114612 01 NY TAX IDENTIFICATION NUMBER
N005521 01 NY HIP
WJ5521 01 NY ATLANTIS HEALTH PLAN
7772241 01 NY AETNA PPO#
institution
Provider Business Practice Location Address Details
Address
2315 Victory Blvd
City
Staten Island
State
New York
Zip
10314-6623
Phone Number
718-477-6900
Fax Number
718-983-0352
person
Provider Business Mailing Address Details
Address
2315 Victory Blvd
City
Staten Island
State
New York
Zip
10314-6623
Phone Number
718-477-6900
Fax Number
718-983-0352
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
N005521 (New York)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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