Individual
BETH WITTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1508, NEW YORK, NY 10029-6504
(212) 241-6186
Mailing address
1 GUSTAVE L LEVY PL, BOX 1508, NEW YORK, NY 10029-6504
(212) 241-6186
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
269930-1
NY
208000000X
Pediatrics Physician
37272
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372723
—
SC
Enumeration date
03/22/2011
Last updated
03/24/2016
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