Individual
AUDREY WEISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1110
(516) 734-8963
(516) 734-8862
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-1426
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F301072
NY
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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