Individual
MRS. ROSAMOND PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 BROOKDALE PLZ, EMERGENCY DEPARTMENT, BROOKLYN, NY 11212-3139
(718) 240-5180
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7889
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F333176
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02258208
—
NY
Enumeration date
04/21/2007
Last updated
07/08/2007
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