Individual
STACEY P WEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 OLD LIVERPOOL RD, LIVERPOOL, NY 13088-6238
(315) 453-3911
(315) 453-0197
Mailing address
53 CHERRYWOOD LN, ROME, NY 13440-4773
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
01/03/2023
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