Individual
MISS BIANCA SAMI-JO WEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
520 E 70TH ST # 607, NEW YORK, NY 10021-9800
(212) 746-2454
Mailing address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021942-1
NY
363A00000X
Physician Assistant
54330
CA
Other
Enumeration date
04/03/2017
Last updated
05/26/2023
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