Individual
AUDREY NICOLE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6639
Mailing address
155 E 31ST ST APT 31R, NEW YORK, NY 10016-6876
(585) 944-9899
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
034580
NY
Other
Enumeration date
06/06/2025
Last updated
10/30/2025
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