Individual
MS. VICTORIA ROSE LATESSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
130 E 77TH ST, NEW YORK, NY 10021-1851
(212) 434-3411
Mailing address
124 ELLIOTT PL, RUTHERFORD, NJ 07070-1964
(201) 460-1327
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
503782-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02075652
—
NY
Enumeration date
01/17/2006
Last updated
07/08/2007
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