| Doctor Name: | MRS. MAUREEN C. ROLLER |
| NPI Number: | 1063588853 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP, ANP-C (ANP-BC) |
| License Number: | 303280 |
| Business Practice Address: | 206 Glen Cove Ave Sea Cliff, NY - 11579 |
| Business Phone Number: | 5166761742 |
| Business Fax Number: | 5166769662 |
| Mailing Address: | 206 Glen Cove Ave, SEA CLIFF |
| State: | NY |
| Postal Code: | 11579 |
| Phone Number: | 5166761742 |
| Fax Number: | 5166769662 |
| NPI Enumeration Date: | 11/26/2006 |
| NPI Last Update Date: | 05/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 303280 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |