Individual
MRS. LESLIE A ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7 BALSAM DR, MEDFORD, NY 11763-4303
(631) 627-6368
Mailing address
7 BALSAM DR, MEDFORD, NY 11763-4303
(631) 627-6368
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
809149
NY
163WC0200X
Critical Care Medicine Registered Nurse
Primary
809149
NY
163WC3500X
Cardiac Rehabilitation Registered Nurse
809149
NY
163WE0003X
Emergency Registered Nurse
809149
NY
164W00000X
Licensed Practical Nurse
271304
NY
Other
Enumeration date
10/30/2009
Last updated
11/05/2021
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