Individual
MRS. AVA KONWISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
40 OLIVIA ST, PORT CHESTER, NY 10573-4802
(914) 934-7988
Mailing address
40 OLIVIA ST, PORT CHESTER, NY 10573-4802
(914) 934-7988
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
226613
NY
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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