Individual ProviderAmanda Eileen WeidelCounselorBehavioral Health & Social Service ProvidersPractice Address333 Park Ave S, 3d, New York, NY 10010-2906(212) 388-1903(937) 219-3446PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Eileen Weidel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:42 AM.Profile DetailsProvider ID1164607719Provider TypeIndividualFull NameWeidel, Amanda EileenCredentialPCCGenderFemaleSole ProprietorYesEnumeration Date1/2/2008Last Updated12/15/2009Contact InformationPractice LocationPractice Address333 Park Ave S, 3d, New York, NY 10010-2906Phone(212) 388-1903FaxUnlisted FaxMailing LocationMailing Address195 Driggs Ave, 4b, Brooklyn, NY 11222-4624Phone(937) 219-3446FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer