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DENISE LORETTA WITHERSPOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1275 YORK AVENUE, URGENT CARE CENTER, NEW YORK, NY 10021
(212) 639-7203
Mailing address
310 PROSPECT AVE, APT 444, HACKENSACK, NJ 07601-7760
(201) 880-5762

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
26NR13551100
NJ
163WX0200X
Oncology Registered Nurse
Primary
411270-1
NY

Other

Enumeration date
03/26/2009
Last updated
03/26/2009
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