Individual
MISS CAZZIE L DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
865 BROADWAY AVE, APT215B, HOLBROOK, NY 11741-4953
(516) 852-6839
Mailing address
865 BROADWAY AVE, APT215B, HOLBROOK, NY 11741-4953
(516) 852-6839
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
580560
NY
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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