Individual
DENISE SYNDEE WITTLIN-HORVATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R, RN, NPP
Contact information
Practice address
108 S ALBANY ST, SUITE 1A, ITHACA, NY 14850-5446
(607) 256-1167
Mailing address
108 S ALBANY ST, SUITE 1A, ITHACA, NY 14850-5446
(607) 256-1167
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
069855
NY
163W00000X
Registered Nurse
568571
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F40117-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069855
LCSW
NY
01
—
40117-1
NURSE PRACTITIONER PSYCH
NY
01
—
568571
LIC. PROF. NURSE
NY
Enumeration date
01/09/2007
Last updated
03/10/2008
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