Individual
MRS. LYNNE DUTKOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 S BENITA BLVD, VESTAL, NY 13850-2675
(607) 757-2313
(607) 757-3725
Mailing address
600 S BENITA BLVD, VESTAL, NY 13850-2675
(607) 757-2313
(607) 757-3725
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
371007-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6077857076
—
NY
Enumeration date
06/19/2019
Last updated
06/19/2019
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