Provider Demographics
NPI:1427189265
Name:VIGGIANI, ROSEMARIE A (RN)
Entity Type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:A
Last Name:VIGGIANI
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 1:1641 THIRD STREET
Mailing Address - Street 2:
Mailing Address - City:RENSSELAER
Mailing Address - State:NY
Mailing Address - Zip Code:12144
Mailing Address - Country:US
Mailing Address - Phone:518-463-8869
Mailing Address - Fax:518-464-8733
Practice Address - Street 1:1641 THIRD STREET
Practice Address - Street 2:
Practice Address - City:RENSSELAER
Practice Address - State:NY
Practice Address - Zip Code:12144
Practice Address - Country:US
Practice Address - Phone:518-463-8869
Practice Address - Fax:518-463-8733
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY382843-1101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor