Provider Demographics
NPI:1649719634
Name:WEBER, FAIGY
Entity type:Individual
Prefix:
First Name:FAIGY
Middle Name:
Last Name:WEBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 LAWRENCE ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-5031
Mailing Address - Country:US
Mailing Address - Phone:650-550-8515
Mailing Address - Fax:
Practice Address - Street 1:100 LAWRENCE ST
Practice Address - Street 2:SUITE 201
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-5031
Practice Address - Country:US
Practice Address - Phone:650-550-8515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-23
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies