Individual
DR. NORA ELIZABETH WECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
260 E MAIN ST, SMITHTOWN, NY 11787-2982
(631) 979-7222
(631) 979-5376
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-0650
(631) 638-4170
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
207311
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992534
—
NY
Enumeration date
10/20/2006
Last updated
05/19/2016
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