Mary Rose Desandolo, RN,FNP is a
Nurse Practitioner - Family based in Waccabuc, New York. Mary Rose Desandolo is licensed to practice in New York (license number F331937-1) and her current practice location is
36 Hunt Farm Rd, Waccabuc, New York. She can be reached at her office (for appointments etc.) via phone at
(914) 763-2574.
NPI number for Mary Rose Desandolo is 1841538584 and her current mailing address is 36 Hunt Farm Rd, Waccabuc, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841538584.
Provider's Profile
| Full Name | Mary Rose Desandolo |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
|---|
| Location | 36 Hunt Farm Rd, Waccabuc, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841538584
- Provider Enumeration Date: 01/30/2013
- Last Update Date: 01/30/2013
Medical Identifiers
Medical identifiers for Mary Rose Desandolo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841538584 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | F331937-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Rose Desandolo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Rose Desandolo, RN,FNP
36 Hunt Farm Rd,
Waccabuc, NY 10597-1102
Ph: (914) 763-2574 | Mary Rose Desandolo, RN,FNP
36 Hunt Farm Rd,
Waccabuc, NY 10597-1102
Ph: (914) 763-2574 |
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