Provider Demographics
NPI:1952750945
Name:ROMAN-BRUZESE, HELEN (RN)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:ROMAN-BRUZESE
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 1:144 BAY 13TH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4504
Mailing Address - Country:US
Mailing Address - Phone:917-685-5918
Mailing Address - Fax:
Practice Address - Street 1:144 BAY 13TH ST FL 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4504
Practice Address - Country:US
Practice Address - Phone:917-685-5918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY446713-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health