Provider Demographics
NPI:1619019569
Name:MARTONE, ROSANNE C (FNP)
Entity Type:Individual
Prefix:MS
First Name:ROSANNE
Middle Name:C
Last Name:MARTONE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 WILLARD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-1222
Mailing Address - Country:US
Mailing Address - Phone:516-221-2556
Mailing Address - Fax:
Practice Address - Street 1:14204 BAYSIDE AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-2331
Practice Address - Country:US
Practice Address - Phone:718-762-6640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY331812363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily