Individual
RROYA-RAE MARIE MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5437
Mailing address
20906 NASHVILLE BLVD, CAMBRIA HEIGHTS, NY 11411-1041
(954) 663-1046
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
350557
NY
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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