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Contact Information

MICHELLE WITKOWSKI
39 BRENTWOOD RD STE 201
BAY SHORE, NY11706-8031
 Phone: 631-968-8288
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MICHELLE WITKOWSKI · (Female)

NPI # 1871089862
Status Active
Credentials
Entity Individual
Enumeration date 07/02/2018
Last updated 07/02/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 640410
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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