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Jennifer M Weston, PA-C, MS, RD

Physician Assistant in Brooklyn, NY. Individual provider (NPI-1).

NPI number1154545895
StatusActive
Last updated in NPPESNov 14, 2024

Details

NPI
1154545895
Entity type
Individual (NPI-1)
Name
Jennifer M Weston
Credential
PA-C, MS, RD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 12, 2007
Certification date
Nov 14, 2024
Last updated
Nov 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant023991NYYes
133V00000X Dietitian, Registered2400MA

Practice location

150 55th St
Brooklyn, NY 11220-2508

Phone 718-630-7000

Mailing address

20302 Aspenwood Dr
Plainview, NY 11803-2145

Other practice locations

200 Belle Terre Rd
Port Jefferson, NY 11777-1928

Phone 631-474-6000

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