Individual
RITA ANGELA LOPILATO-ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
136 STEVENS AVE, MOUNT VERNON, NY 10550-2604
(914) 664-3161
(914) 664-3162
Mailing address
136 STEVENS AVE, MOUNT VERNON, NY 10550-2604
(914) 664-3161
(914) 664-3162
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
4161191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4161191
LICENSE
NY
Enumeration date
02/10/2014
Last updated
03/12/2014
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