Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | F-000526-1 | NY |
NPI | 1013054840 |
---|---|
Provider Name | Ms. Rosanne Cosentino |
First Address | New York, NY 10025-1977 |
Second Address | New York, NY 10019-1827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 08/07/2007 |