Individual
PATRICIA E DIROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 773-4059
(607) 773-4100
Mailing address
425 ROBINSON STREET, C&A UNIT / HECOX HALL, BINGHAMTON, NY 13904
(607) 773-4059
(607) 773-4100
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
492980
NY
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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