Individual
DR. COREY JUSTIN WITENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Mailing address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
061810
NY
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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