Individual
MRS. ROSE CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
915 HILLSIDE AVE, NEW HYDE PARK, NY 11040-2529
(516) 437-9660
(516) 328-9355
Mailing address
915 HILLSIDE AVE, NEW HYDE PARK, NY 11040-2529
(516) 437-9660
(516) 328-9355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F300869
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96V361
BCBS
NJ
Enumeration date
08/31/2006
Last updated
07/08/2007
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