Provider Demographics
NPI:1093274698
Name:OLIVERI-PIOTROWSKI, MARIALENA (RN)
Entity Type:Individual
Prefix:
First Name:MARIALENA
Middle Name:
Last Name:OLIVERI-PIOTROWSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 NEWBURY ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14615-3209
Mailing Address - Country:US
Mailing Address - Phone:585-281-4881
Mailing Address - Fax:
Practice Address - Street 1:451 NEWBURY ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14615-3209
Practice Address - Country:US
Practice Address - Phone:585-281-4881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY678644163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine