Doctor Name: | PROF. IDA D ROSARIO-HEBER |
NPI Number: | 1023384534 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 371942 |
Business Practice Address: | 4810 31st Ave Long Island City, NY - 111031334 |
Business Phone Number: | 7187215404 |
Business Fax Number: | 7187283478 |
Mailing Address: | 3406 45th St, Apt # 5g LONG ISLAND CITY |
State: | NY |
Postal Code: | 111011054 |
Phone Number: | 9178044442 |
Fax Number: | 7183615631 |
NPI Enumeration Date: | 03/29/2012 |
NPI Last Update Date: | 03/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 371942 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |