Weston, Amanda J

Weston, Amanda J is an sole proprietor health care provider with primary practice located at 122 W Roe Blvd , Patchogue NY 11772-2569. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Weston, Amanda J can be contacted via phone (631) 260-1314.

Contact Information

Primary practice address
122 W Roe Blvd Patchogue NY 11772-2569
Phone: (631) 260-1314
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 401895 New York

Profile Details

NPI number 1710387279
LBN Legal business name Weston, Amanda J
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2014
Last updated Jul 21st, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710387279 NPPES
New York Other F401895-1 LICENSE NUMBER

Popular Providers