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Organization

ROSE MARIE WITEK RN,BSN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROSE MARIE WITEK REGISTEED NURSE (IV SPECIALIST)
(631) 487-6512
Entity
Organization

Contact information

Practice address
109 VIRGINIA AVE, LAKE GROVE, NY 11755-2824
(631) 487-6512
(631) 487-6512
Mailing address
109 VIRGINIA AVE, LAKE GROVE, NY 11755-2824
(631) 487-6512
(631) 487-6512

Taxonomy

Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
384875-1
NY

Other

Enumeration date
01/21/2014
Last updated
01/21/2014
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