Provider Demographics
NPI:1295712438
Name:ALBU, JEANINE B (MD)
Entity type:Individual
Prefix:DR
First Name:JEANINE
Middle Name:B
Last Name:ALBU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:150 E 42ND ST FL 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5699
Mailing Address - Country:US
Mailing Address - Phone:646-605-8188
Mailing Address - Fax:646-605-8188
Practice Address - Street 1:1090 AMSTERDAM AVE FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-1737
Practice Address - Country:US
Practice Address - Phone:212-961-5500
Practice Address - Fax:212-531-7640
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2019-04-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY163069207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01026833Medicaid
NY04E66Medicare ID - Type Unspecified
NYA97622Medicare UPIN