Individual
BEVERLY SONIA WITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 LENOX RD, APT.1E, BROOKLYN, NY 11226-2276
(347) 385-3537
Mailing address
350 LENOX RD, APT.1E, BROOKLYN, NY 11226-2276
(347) 385-3537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
451216
NY
164W00000X
Licensed Practical Nurse
Primary
219778-1
NY
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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