Provider Demographics
NPI:1275879793
Name:OSHEA, MARIA E (RN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:E
Last Name:OSHEA
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 1:16 OCEAN PKWY
Mailing Address - Street 2:E24
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-1551
Mailing Address - Country:US
Mailing Address - Phone:718-207-3406
Mailing Address - Fax:
Practice Address - Street 1:81 OCEAN PKWY
Practice Address - Street 2:3B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-1754
Practice Address - Country:US
Practice Address - Phone:917-975-4081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY593847-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse