Provider Demographics
NPI:1194899971
Name:VELOZZI, ROSEMARY R (RN)
Entity type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:R
Last Name:VELOZZI
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 1:3 NEW LONDON RD
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-4654
Mailing Address - Country:US
Mailing Address - Phone:585-427-0763
Mailing Address - Fax:
Practice Address - Street 1:112 WILLOWBROOK RD
Practice Address - Street 2:CLIENT GRACE LAWRENSON
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14616-2804
Practice Address - Country:US
Practice Address - Phone:585-865-3046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY203637163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01343177Medicaid