Individual
RINA TIRABASSI-COLAIACOVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 E 125TH STREET, WARD'S ISLAND COMPLEX, NEW YORK, NY 10035
(646) 672-5803
Mailing address
600 E 125TH STREET, WARD'S ISLAND COMPLEX, NEW YORK, NY 10035
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
441515-1
NY
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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