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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. ANNAWATI KOESDJOJO-LIEM, RN

Active Sole Proprietor

MS. ANNAWATI KOESDJOJO-LIEM, RN is a Registered Nurse healthcare provider located in PLATTSBURGH, New York. NPI 1528293032 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · PLATTSBURGH, NY

Registration Details

NPI Number
1528293032
Provider Type
Individual
Gender
Female
NPI Issued
May 28, 2009 (17.068951131353 yrs)
Last Updated
May 28, 2009
License
576297-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
10 BROADWAY RD
PLATTSBURGH, NY, 129011308
Browse NY providers · Browse ZIP 12901
Phone
5185619711
Fax
5185619711
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in PLATTSBURGH, NY

Name Credential NPI
MRS. VANESSA J STAPLES RN BSN 1144409301
MS. ANN CARRON RN 1063664209
ELIZABETH LAFOREST R.N. 1518106079
TERRI R SEYMOUR RN 1013141225
JOHN RICHARD WEITZMANN RN 1770710113
MS. SARA ROSE PERRY RN 1619280732
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.