STEPHANIE ANGELA VAN ROSSEM


Address: 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102
Phone: 9174106905

STEPHANIE ANGELA VAN ROSSEM (NPI# 1497301444) 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) 1497301444
Entity Type Individual
Full Name STEPHANIE ANGELA VAN ROSSEM
Practice Address 28-18 Astoria Blvd, Astoria, Ny 11102
Astoria
NY 11102
Mailing Address 9901 164th Ave
Howard Beach
NY 11414-4009
Practice Telephone 9174106905
Mailing Telephone 7185514588
Enumeration Date 2019-08-15
Last Update Date 2019-08-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
421399 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 28-18 ASTORIA BLVD, ASTORIA, NY 11102
City ASTORIA
State NY
Zip Code 11102

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NPI Name Taxonomy Address Enumeration
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1679933998 Tarek R Khater Clinic/Center 2814 31st St, Suite 501, Astoria, NY 11102 2016-02-29
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1700288909 Andre Farah Dc PC Chiropractor 29-15 Astoria Blvd, Astoria, NY 11102 2014-09-18
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1811070345 Belinda B Kruger Nurse Practitioner 820 Exchange St, Suite 100, Astoria, OR 97103-4609 2006-10-20

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Competitor

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City ASTORIA
Zip Code 11102

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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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