Provider Demographics
NPI:1841484169
Name:TAFFE, ROSEMARIE ANN
Entity type:Individual
Prefix:MS
First Name:ROSEMARIE
Middle Name:ANN
Last Name:TAFFE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 FAIRVIEW PL
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-6016
Mailing Address - Country:US
Mailing Address - Phone:516-708-6192
Mailing Address - Fax:516-586-4662
Practice Address - Street 1:1000 FRONT ST
Practice Address - Street 2:BOX 642
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-1638
Practice Address - Country:US
Practice Address - Phone:516-708-6192
Practice Address - Fax:516-586-4662
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY249155-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty