Individual
ISABEL WITTMAACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2100
Mailing address
1343 ELY RD, CORTLAND, NY 13045-9437
(607) 745-6331
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
704086
NY
363LA2100X
Acute Care Nurse Practitioner
431919
NY
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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