Basic Information
Provider Information
NPI: 1447420278
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARMSTRONG
FirstName: ROSEMARIE
MiddleName: DOMINIQUE
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MAIORINO
OtherFirstName: ROSEMARIE
OtherMiddleName: DOMINIQUE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: ANP-BC
OtherLastNameType: 5
Mailing Information
Address1: 462 1ST AVE, 17S5
Address2: BELLEVUE HOSPITAL
City: NEW YORK
State: NY
PostalCode: 100169196
CountryCode: US
TelephoneNumber: 2125626365
FaxNumber: 2122637060
Practice Location
Address1: 462 1ST AVE
Address2: BELLEVUE HOSPITAL, 17S5
City: NEW YORK
State: NY
PostalCode: 100169196
CountryCode: US
TelephoneNumber: 2125626365
FaxNumber: 2122637060
Other Information
ProviderEnumerationDate: 03/07/2008
LastUpdateDate: 04/13/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XF304677-1NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


Home