Individual
AMY WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 572-1896
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 572-1896
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
649397
NY
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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