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Individual

MR. GEORGE WEBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
638 FRESH POND AVE UNIT 351, CALVERTON, NY 11933-1191
(631) 565-2961
Mailing address
638 FRESH POND AVE UNIT 351, CALVERTON, NY 11933-1191
(631) 565-2961

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
599865-1
NY

Other

Enumeration date
04/09/2009
Last updated
07/30/2015
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