Basic Information
Provider Information
NPI: 1538170717
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CONIGLIARO
FirstName: ROSEMARIE
MiddleName: LOMBARDI
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 WOODS RD STE D342
Address2:  
City: VALHALLA
State: NY
PostalCode: 105951530
CountryCode: US
TelephoneNumber: 9144936616
FaxNumber: 9144935827
Practice Location
Address1: 100 WOODS RD
Address2:  
City: VALHALLA
State: NY
PostalCode: 10595
CountryCode: US
TelephoneNumber: 9144936616
FaxNumber: 9144935827
Other Information
ProviderEnumerationDate: 08/11/2006
LastUpdateDate: 12/13/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X177893NYY Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XTP385KYN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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