Individual
MRS. RISHA ANN FORMANOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
752 CENTRAL AVE, DUNKIRK, NY 14048-2505
(716) 366-9300
Mailing address
620 MARAUDER DR, DUNKIRK, NY 14048-2339
(716) 366-9300
(716) 672-2196
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
275439-1
NY
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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