| Doctor Name: | MRS. MAUREEN P WEYER |
| NPI Number: | 1306068564 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 502470-1 |
| Business Practice Address: | 998 Crooked Hill Rd West Brentwood, NY - 117171019 |
| Business Phone Number: | 6317612581 |
| Business Fax Number: | |
| Mailing Address: | 197 Monroe St, MASTIC |
| State: | NY |
| Postal Code: | 119504506 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 02/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 502470-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |