Provider Demographics
NPI:1194864470
Name:O'NEILL, RITA MONICA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:MONICA
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:RITA
Other - Middle Name:MONICA
Other - Last Name:WATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:427 GUY PARK AVE - PRIMARY & SPECIALTY CARE DEPT.
Mailing Address - Street 2:ST. MARY'S HOSPITAL @ AMSTERDAM
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010
Mailing Address - Country:US
Mailing Address - Phone:518-841-7430
Mailing Address - Fax:518-841-7121
Practice Address - Street 1:48 ERIE BLVD
Practice Address - Street 2:ST. MARY'S HOSPITAL, CANAJONARIE FAMILY HEALTH CENTER
Practice Address - City:CANAJONARIE
Practice Address - State:NY
Practice Address - Zip Code:13317
Practice Address - Country:US
Practice Address - Phone:518-673-2573
Practice Address - Fax:518-673-2781
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily