Witkowska, Renata Ann
Witkowska, Renata Ann is an sole proprietor health care provider with primary practice located at 200 Lake St , Newburgh NY 12550-5243. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Witkowska, Renata Ann can be contacted via phone (845) 563-9990.Contact Information
Primary practice address
200 Lake St
Newburgh NY 12550-5243
Phone: (845) 563-9990
Fax: (845) 563-9992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 002081 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 002081 | New York |
Profile Details
| NPI number | 1043203474 |
|---|---|
| LBN Legal business name | Witkowska, Renata Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jan 30th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043203474 | NPPES |
| Other | 331832 | MEDICARE | |
| MEDICAID | 00472931 | MEDICARE |
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