Individual
COSETTE ANNE WITTY-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10 STATE HIGHWAY 37B, MASSENA, NY 13662-3142
(315) 769-4340
(315) 769-4675
Mailing address
1 HOSPITAL DR, MASSENA, NY 13662-1056
(315) 769-4200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004525
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004525
LICENSE #
NY
05
—
03372598
—
NY
Enumeration date
12/28/2006
Last updated
07/21/2022
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