Most Relevant Information
Provider Data
| NPI Number: | 1003334608 |
| Provider Name: | GRETCHEN HIWATIG |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 636379-1 |
Most Important Dates
| Enumeration Date: | 09/02/2017 |
| Last Updated: | 11/05/2017 |
Provider Practice Location
2811 QUEENS PLZ N FL 5
LONG ISLAND CITY
NY
111014008
Practice Location Phone/Fax
| Phone: | 7183918300 |
| Fax: |
Provider Mailing Location
2237 ELLIS AVE
BRONX
NY
104625105
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |