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Individual

MS. NILA THERESA DE LA ROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, NP-C, OCN

Contact information

Practice address
560 1ST AVE, TISCH HOSPITAL - 16 EAST, NEW YORK, NY 10016-6402
(212) 263-5630
Mailing address
788 SPINNAKER CT, SECAUCUS, NJ 07094-2233
(201) 867-8881

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00143200
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
F304845
NY

Other

Enumeration date
04/24/2008
Last updated
04/24/2008
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