Individual
MS. MARIA INES DELA ROSA LEGARDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 562-3776
Mailing address
49 LAFAYETTE AVE, MAYWOOD, NJ 07607-2032
(201) 835-8870
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
F350400
NY
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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