Weis, Marjorie

Weis, Marjorie is an individual health care provider with primary practice located at 1275 York Ave , New York NY 10065-6007. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Weis, Marjorie can be contacted via phone (212) 639-5952.

Contact Information

Primary practice address
1275 York Ave New York NY 10065-6007
Phone: (212) 639-5952
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 568414-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F382261-1 New York

Profile Details

NPI number 1093076424
LBN Legal business name Weis, Marjorie
Credentials CPNP-PC, CPHON, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2012
Last updated Jan 1st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093076424 NPPES
New York MEDICAID 03711548

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