SearchNew York363A00000X

Amanda Wiermann, P.A

NPI 1023378874 · on the registry since 2012

Practice

Address
Po Box 263
Port Jefferson Station, NY 11776
Phone
(631) 828-5419
Fax
(631) 403-1298

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York