Individual
MRS. ROSA G. MACANCELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 5TH AVE, NEW YORK, NY 10029-6503
(212) 427-1540
(212) 410-7196
Mailing address
ONE GUSTAVE L. LEVY PLACE, BOX 1030, NEW YORK, NY 10029-0310
(212) 241-7300
(212) 289-5971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
708130-1
NY
363L00000X
Nurse Practitioner
Primary
F310560-01
NY
363LA2200X
Adult Health Nurse Practitioner
310560
NY
Other
Enumeration date
11/02/2015
Last updated
03/27/2024
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