Ann Rose Marie Derby, | |
25532 147th Rd, Rosedale, NY 11422-2828 | |
(347) 500-9171 | |
Not Available |
Full Name | Ann Rose Marie Derby |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 25532 147th Rd, Rosedale, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194504217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 289128 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ann Rose Marie Derby, 25532 147th Rd, Rosedale, NY 11422-2828 Ph: (347) 500-9171 | Ann Rose Marie Derby, 25532 147th Rd, Rosedale, NY 11422-2828 Ph: (347) 500-9171 |
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