Individual
JULIE WEISBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
68 HAUPPAUGE RD, COMMACK, NY 11725-4403
(631) 715-2503
Mailing address
30 SPRUCE DR, ROSLYN, NY 11576-2330
(516) 621-4163
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307610-1
NY
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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