Individual
RACHELLE DEROSENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
131 E AMES CT, PLAINVIEW, NY 11803-2317
(516) 414-6900
Mailing address
1443 MAGNOLIA WAY, CAROL STREAM, IL 60188-3366
(630) 253-5223
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421413
NY
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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