Doctor Name: | MRS. ROSAIRE LAINE |
NPI Number: | 1275684144 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 304165 |
Business Practice Address: | 539 De Mott Ave North Baldwin, NY - 115101321 |
Business Phone Number: | 9732208313 |
Business Fax Number: | 5162232891 |
Mailing Address: | 539 De Mott Ave, NORTH BALDWIN |
State: | NY |
Postal Code: | 115101321 |
Phone Number: | 9732208313 |
Fax Number: | 5162232891 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 03/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 304165 |
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: |