Individual
ROSELINE CODIO NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
45 MALL DRIVE, COMMACK, NY 11725
(631) 326-4497
Mailing address
22 CHATHAM RD, COMMACK, NY 11725
(516) 406-6056
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
571901-1
NY
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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