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Provider Information for 1134541030

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

GINGER DITTENHOFER

Other Name:   GINGER GREEN
Gender: FEMALE

Individual NPI: 1134541030

Calendar   Last Updated:  2014-01-11
  Certification Date: 

Details

Name Value
NPI 1134541030
Enumeration Date 2014-01-11
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 5 ROLLING WOODS LN
HAMPTON BAYS, NY 11946-1900
United States

Phone: 304-308-7608 | Fax:
View Map External Link
Primary Practice Address 5 ROLLING WOODS LN
HAMPTON BAYS, NY 11946-1900
United States

Phone: 304-308-7608 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 163W00000X - Registered Nurse NY 656617-1