Individual
MRS. ANNA R WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
636 WANTAGH AVE, LEVITTOWN, NY 11756-5300
(516) 520-7750
Mailing address
34 SANDY HOLLOW DR, SMITHTOWN, NY 11787-3018
(516) 476-8860
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382908
NY
Other
Enumeration date
10/09/2018
Last updated
01/31/2022
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