Provider Demographics
NPI:1568675494
Name:WITKOWICH, MARIA EMILIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:EMILIA
Last Name:WITKOWICH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 NORTHMORE DR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4317
Mailing Address - Country:US
Mailing Address - Phone:914-245-0148
Mailing Address - Fax:
Practice Address - Street 1:2649 STRANG BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:YORKTOWN HTS
Practice Address - State:NY
Practice Address - Zip Code:10598-2939
Practice Address - Country:US
Practice Address - Phone:914-245-7977
Practice Address - Fax:914-245-7976
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045915122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist