Provider Demographics
NPI:1184742272
Name:IANNI, ROSA C (NP)
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:C
Last Name:IANNI
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:428 E 72ND ST OFC 600
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4635
Mailing Address - Country:US
Mailing Address - Phone:646-962-6004
Mailing Address - Fax:646-962-0020
Practice Address - Street 1:CARDIAC PREVENTION CENTER
Practice Address - Street 2:428 EAST 72 STREET SUITE 600
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:646-962-6004
Practice Address - Fax:646-962-0020
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2021-09-23
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Provider Licenses
StateLicense IDTaxonomies
NY304103363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health