Individual
MRS. ROSEMARIE VENTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3090
Mailing address
4004 6TH AVE, 1ST FLOOR, BROOKLYN, NY 11232-3151
(718) 309-6180
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006911
NY
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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