Individual
LORI WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 QUEENS PLZ N, 5TH FL, LONG ISLAND CITY, NY 11101-4008
(718) 391-8300
Mailing address
340 E 90TH ST, #4H, NEW YORK, NY 10128-5129
(212) 769-8795
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
623970-1
NY
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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