Provider Demographics
NPI:1750950978
Name:WEISSBERG, LAUREN ELENA (BSN, RN-BC)
Entity type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:ELENA
Last Name:WEISSBERG
Suffix:
Gender:F
Credentials:BSN, RN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2892 SHORE RD
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-3334
Mailing Address - Country:US
Mailing Address - Phone:516-860-3274
Mailing Address - Fax:
Practice Address - Street 1:6619 13TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-6122
Practice Address - Country:US
Practice Address - Phone:347-970-9164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY746708-1163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator