Individual
NICHOLAS WEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
85 SHELL EDGE DR, ROCHESTER, NY 14623-4356
(585) 359-5413
Mailing address
85 SHELL EDGE DR, ROCHESTER, NY 14623-4356
(585) 359-5413
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
682128
NY
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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