Individual
GRETCHEN E KRETKOWSKI-RIEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1400 WANTAGH AVE, WANTAGH, NY 11793-2257
(631) 321-7011
Mailing address
695 GLOVER PL, BALDWIN, NY 11510-3506
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403207
NY
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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