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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY ROSE DESANDOLO, RN,FNP

Active Sole Proprietor

MARY ROSE DESANDOLO, RN,FNP is a Family Nurse Practitioner healthcare provider located in WACCABUC, New York. NPI 1841538584 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · WACCABUC, NY

Registration Details

NPI Number
1841538584
Provider Type
Individual
Gender
Female
NPI Issued
Jan 30, 2013 (13.505874211513 yrs)
Last Updated
Jan 30, 2013
License
F331937-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
36 HUNT FARM RD
WACCABUC, NY, 105971102
Browse NY providers · Browse ZIP 10597
Phone
9147632574
Primary Specialty
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.