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Individual

ANDREW WEBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(516) 698-9289
Mailing address
5225 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2053
(631) 743-6890
(631) 743-6091

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
294138
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/24/2015
Last updated
02/26/2026
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