Individual
AUDREY WEINBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 E 17TH ST, BROOKLYN, NY 11230-3750
(917) 259-3711
Mailing address
915 E 17TH ST, BROOKLYN, NY 11230-3750
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
340613
NY
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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