Leroi Ephraim Dewitt JR. RN

NPI 1104089184 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1104089184
Gender Male
Enumeration Date 07/09/2008
Last Updated 06/25/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
30 PARK AVE
#5D
MOUNT VERNON NY, 10550-2145, US
Phone (347) 203-9580
Fax
Business Location
30 PARK AVE
#5D
MOUNT VERNON NY, 10550-2145, US
Phone (347) 203-9580
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 292387
Remove 1104089184 NPI Number
 

According to our database, Mr. Leroi Ephraim Dewitt JR. RN NPI is 1104089184, taxonomy code is 164W00000X and license number is 292387, license state is located at New York. Leroi Ephraim Dewitt JR. RN physically located at 30 Park Ave, Mount Vernon NY, 10550-2145. NPI Number Leroi Ephraim Dewitt JR. RN has the Individual type.

Sponsored links

1104089184 NPI number is provided on an as is basis without warranty of any kind. 1104089184 is maintained by the National Plan & Provider Enumeration System. The contents of Leroi Ephraim Dewitt JR. RN are for informational purposes only.