Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 334380 | NY |
N | 207RP1001X | Pulmonary Disease | 334380 | NY |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 334380 | NY |
N | 363LF0000X | Nurse Practitioner - Family Medicine | F334380-1 | NY |
NPI | 1245560358 |
---|---|
Provider Name | Ms. Roseanne Theresa Brindisi |
First Address | Utica, NY 13502 |
Second Address | Utica, NY 13502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2010 |
Last Update Date | 04/11/2016 |