Individual
ROSANNA DEJESUS PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 WESTBROOK RD, CORAM, NY 11727-1014
(631) 897-4333
Mailing address
10 WESTBROOK RD, CORAM, NY 11727-1014
(631) 897-4333
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
635616-1
NY
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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