Provider Demographics
NPI:1982838017
Name:INGRASSIA, ROSALIE (NP)
Entity Type:Individual
Prefix:MRS
First Name:ROSALIE
Middle Name:
Last Name:INGRASSIA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ROSALIE
Other - Middle Name:
Other - Last Name:INGRASSIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:28 ALKAMONT AVE
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5109
Mailing Address - Country:US
Mailing Address - Phone:917-805-2340
Mailing Address - Fax:
Practice Address - Street 1:3959 BROADWAY
Practice Address - Street 2:CHC 12
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:212-305-3151
Practice Address - Fax:212-342-2802
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF420928-1363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health