Individual
MS. MARY ANN WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3959 BROADWAY, CHONY 214N, NEW YORK, NY 10032-1559
(212) 342-8585
(212) 305-9771
Mailing address
3959 BROADWAY, CHONY 214N, NEW YORK, NY 10032-1559
(212) 342-8585
(212) 305-9771
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
380687
NY
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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