Individual
PROF. IDA D ROSARIO-HEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4810 31ST AVE, LONG ISLAND CITY, NY 11103-1334
(718) 721-5404
(718) 728-3478
Mailing address
3406 45TH ST, APT # 5G, LONG ISLAND CITY, NY 11101-1054
(917) 804-4442
(718) 361-5631
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
371942
NY
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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