Individual
ANGELA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, WHNP
Contact information
Practice address
1797 CONEY ISLAND AVE, BROOKLYN, NY 11230-6501
(212) 695-5122
(212) 695-2260
Mailing address
1797 CONEY ISLAND AVE, BROOKLYN, NY 11230-6501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
767252
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
421792
NY
Other
Enumeration date
12/20/2021
Last updated
09/17/2024
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