MARIE ROOSEVELT MALLEBRANCHE


Address: 25742 145th Ave, Rosedale, NY 11422-3315
Phone: 3477541221

MARIE ROOSEVELT MALLEBRANCHE (NPI# 1558924118) 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) 1558924118
Entity Type Individual
Full Name MARIE ROOSEVELT MALLEBRANCHE
Practice Address 25742 145th Ave
Rosedale
NY 11422-3315
Practice Telephone 3477541221
Mailing Telephone 3477541221
Enumeration Date 2019-04-19
Last Update Date 2019-04-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
519543 NY Nursing Service Providers

Office Location

Street Address 25742 145TH AVE
City ROSEDALE
State NY
Zip Code 11422-3315

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1942664115 Raising In The Sun, Ltd Early Intervention Provider Agency 257-04 149th Avenue, Rosedale, NY 11422 2016-04-13
1740656958 Jaelle Jeudy Licensed Practical Nurse 243-59 Mayda Rd, Rosedale, NY 11422 2015-08-12
1851785380 Elizabeth Madison Nutrition, Pllc Clinic/Center 13333 Brookville Boulevard, Suite 229c, Rosedale, NY 11422 2015-03-23
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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1285254185 Paula Rose Brooks-obas Registered Nurse 166 Brown Ave, Hempstead, NY 11550-7139 2020-04-21
1093349870 Phyllis Mcevoy Registered Nurse 225 Central Dr, Briarcliff Manor, NY 10510-1212 2020-03-02
1548891450 Veronica Lopez-santana Registered Nurse 20 Pierces Rd Apt 61, Newburgh, NY 12550-3244 2020-01-29
1073159398 Tanya Cornelius Registered Nurse 12 S Hedley St, Cheektowaga, NY 14206-2508 2019-11-21
1770129173 Donna Patricia Parchment Registered Nurse 12039 198th St, Saint Albans, NY 11412-3729 2019-11-20
1255982831 Luz Deliz Santana Registered Nurse 76 Starr St Apt 3a, Brooklyn, NY 11237-2299 2019-09-24
1336609585 Caroline Ortiz Registered Nurse 1982 University Ave Apt 1d, Bronx, NY 10453-4414 2019-03-22
1376016162 Victoria Ann Parker Registered Nurse 162 Main St Apt 1, Cold Spring, NY 10516-2849 2019-01-04
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Competitor

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City ROSEDALE
Zip Code 11422

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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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