Individual
ANITA LIEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14 BUSHNELL AVE, MONTICELLO, NY 12701
(845) 397-7101
(845) 428-7815
Mailing address
121 APPLE HILL RD, HURLEY, NY 12443-5304
(845) 338-5446
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
246525-01
NY
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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