Individual
DR. FERN WEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
20 SQUADRON BOULEVARD, SUITE 470, NEW CITY, NY 10956
(845) 729-1265
(845) 357-0331
Mailing address
10 LACKAWANNA TRAIL, SUFFERN, NY 10901
(845) 357-0331
(845) 357-0331
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014809
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11238166
CAQH ID
—
Enumeration date
11/13/2006
Last updated
07/08/2007
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