Individual
MRS. MIRIAM BERNADETTE ROSA-CUMMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
(631) 266-6026
Mailing address
12 HEMPSTEAD AVE, APT 3Q, ROCKVILLE CENTRE, NY 11570-4010
(631) 261-4400
(631) 266-6026
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302391-1
NY
Other
Enumeration date
08/16/2006
Last updated
11/20/2009
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