Individual
MRS. BASYA WIDENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMY TECHNICIA
Contact information
Practice address
14 MANOR DR, MONSEY, NY 10952-2551
(845) 499-6479
Mailing address
14 MANOR DR, MONSEY, NY 10952-2551
(845) 499-6579
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
Q8R4M9M4
NY
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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