Individual
DARLENE SIMONE LAROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4517 MONTICELLO AVE, BRONX, NY 10466-1029
(917) 447-6211
Mailing address
4517 MONTICELLO AVE, BRONX, NY 10466-1029
(917) 447-6211
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
337464840190E
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263669425
—
NY
Enumeration date
08/12/2009
Last updated
08/12/2009
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