Provider Demographics
NPI:1679874986
Name:AMODEO, ROSEMARIE RITA (RN)
Entity Type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:RITA
Last Name:AMODEO
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 1:74 16TH ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14213-2607
Mailing Address - Country:US
Mailing Address - Phone:716-886-2989
Mailing Address - Fax:
Practice Address - Street 1:74 16TH ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14213-2607
Practice Address - Country:US
Practice Address - Phone:716-886-2989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY266266-1163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management