Individual
MS. RENATA ANN WITKOWSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 LAKE ST, NEWBURGH, NY 12550-5243
(845) 563-9990
(845) 563-9992
Mailing address
200 LAKE ST, NEWBURGH, NY 12550-5243
(845) 563-9990
(845) 563-9992
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
002081
NY
207R00000X
Internal Medicine Physician
002081
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00472931
—
NY
01
—
331832
MEDICARE
—
Enumeration date
08/31/2005
Last updated
01/30/2013
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