Provider Demographics
NPI:1518040013
Name:WEINBERG, AMY RENEE (NP AAHIVS)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:RENEE
Last Name:WEINBERG
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Gender:F
Credentials:NP AAHIVS
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Mailing Address - Street 1:3635 JOHNSON AVE
Mailing Address - Street 2:APT 5L
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1625
Mailing Address - Country:US
Mailing Address - Phone:718-432-6614
Mailing Address - Fax:718-432-6614
Practice Address - Street 1:166 WEST BROAD STREET SUITE 202
Practice Address - Street 2:STAMFORD HOSPITAL
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902
Practice Address - Country:US
Practice Address - Phone:203-276-5510
Practice Address - Fax:203-276-7597
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT003067363LF0000X
NYF333590363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTMW0835085OtherDEA