Provider Demographics
NPI:1053113761
Name:WEISS, BRITTNI L
Entity type:Individual
Prefix:
First Name:BRITTNI
Middle Name:L
Last Name:WEISS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 NATHAN HALE DR APT 36A
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-7016
Mailing Address - Country:US
Mailing Address - Phone:561-512-4091
Mailing Address - Fax:
Practice Address - Street 1:25 NATHAN HALE DR APT 36A
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-7016
Practice Address - Country:US
Practice Address - Phone:561-512-4091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY827214163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice