PROF. IDA D ROSARIO-HEBER


Address: 4810 31st Ave, Long Island City, NY 11103-1334
Phone: 7187215404

PROF. IDA D ROSARIO-HEBER (NPI# 1023384534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023384534
Entity Type Individual
Full Name PROF. IDA D ROSARIO-HEBER
Credential RN
Practice Address 4810 31st Ave
Long Island City
NY 11103-1334
Mailing Address 3406 45th St
Apt # 5g
Long Island City
NY 11101-1054
Practice Telephone 7187215404
Practice Fax Number 7187283478
Mailing Telephone 9178044442
Mailing Fax Number 7183615631
Enumeration Date 2012-03-29
Last Update Date 2012-03-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
371942 NY Nursing Service Providers

Office Location

Street Address 4810 31ST AVE
City LONG ISLAND CITY
State NY
Zip Code 11103-1334

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NPI Name Taxonomy Address Enumeration
1649738477 Lynn Carrington Speech-Language Pathologist 4810 31st Ave, Long Island City, NY 11103-1334 2019-03-11

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1912399189 Brad Koegel Case Manager/Care Coordinator 30-46 35th Street, Astoria, NY 11103 2015-02-25
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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1619915386 Carol A Celona Registered Nurse 3160 21st St, Long Island City, NY 11106-4520 2006-06-03
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1679040919 Hugo Hernando Vega Registered Nurse 2976 Northern Blvd Fl 2, Long Island City, NY 11101-2829 2018-10-24
1962811778 Lucy Choy-xiong Registered Nurse 3711 Queens Blvd, Long Island City, NY 11101-1725 2014-08-06
1700809522 Linda Rodman Registered Nurse 2510 30th Ave, Long Island City, NY 11102-2448 2006-07-25

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Competitor

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City LONG ISLAND CITY
Zip Code 11103

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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