Healthcare Provider Details

I. General information

NPI: 1043980832
Provider Name (Legal Business Name): BARI WEISSMAN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 CHESTNUT RIDGE RD STE 130
MONTVALE NJ
07645-1841
US

IV. Provider business mailing address

100 WOODS RD
VALHALLA NY
10595-1530
US

V. Phone/Fax

Practice location:
  • Phone: 914-451-8828
  • Fax:
Mailing address:
  • Phone: 914-451-8828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number347903
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: