Provider Demographics
NPI:1700592904
Name:VALERIO, ROSANNA MERCEDES (RN)
Entity Type:Individual
Prefix:
First Name:ROSANNA
Middle Name:MERCEDES
Last Name:VALERIO
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 1:19 DONGAN PL APT 2G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-1536
Mailing Address - Country:US
Mailing Address - Phone:646-427-8313
Mailing Address - Fax:
Practice Address - Street 1:19 DONGAN PL APT 2G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-1536
Practice Address - Country:US
Practice Address - Phone:646-427-8313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY511089163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse