Individual
AUDREY K ROSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
901 48TH ST, BROOKLYN, NY 11219-2919
(718) 436-3705
(718) 435-6188
Mailing address
843 JEFFERSON ST, WOODMERE, NY 11598-2324
(718) 253-0230
(718) 338-1250
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
189204
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F380315
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01499009
—
NY
Enumeration date
09/28/2006
Last updated
06/29/2016
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