Individual
REBECCA LANE WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PMHNP
Contact information
Practice address
180 FORT WASHINGTON AVE, HARKNESS PAVILLION, 6TH FLOOR, NEW YORK, NY 10032-3722
(212) 305-3174
Mailing address
180 FORT WASHINGTON AVE, HARKNESS PAVILLION, 6TH FLOOR, NEW YORK, NY 10032-3722
(212) 305-3174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
673586
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401919
NY
Other
Enumeration date
07/09/2014
Last updated
09/01/2022
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