Individual
OPHELIA GREEN-WITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39 ANDREWS AVE, ROOSEVELT, NY 11575-2513
(347) 972-4240
Mailing address
39 ANDREWS AVE, ROOSEVELT, NY 11575-2513
(347) 972-4240
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
798401
NY
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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