# ROSE MARY SOKOLOW COLLETTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811396443
- **Authorized official:** ROSE MARY SOKOLOW COLLETTE R.N. (STAFF NURSE)
- **Authorized official phone:** (718) 974-6244

## Contact information

- **Practice address:** 141 HOLLY AVE, STATEN ISLAND, NY 10308-2348
- **Practice address phone:** (718) 974-6244
- **Mailing address:** 141 HOLLY AVE, STATEN ISLAND, NY 10308-2348
- **Mailing address phone:** (718) 974-6244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 0593017 | NY | — |
| 163WP0200X | Pediatric Registered Nurse | 0593017 | NY | — |
| 163WS0200X | School Registered Nurse | 0593017N | NY | Yes |

## Other

- **Enumeration date:** 08/20/2014
- **Last updated:** 08/20/2014