Provider Demographics
NPI:1215111000
Name:DENNIS, ROSEMARIE S (RN)
Entity type:Individual
Prefix:MS
First Name:ROSEMARIE
Middle Name:S
Last Name:DENNIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:ROSEMARIE
Other - Middle Name:S
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:1165 E 88TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4762
Mailing Address - Country:US
Mailing Address - Phone:718-558-5020
Mailing Address - Fax:718-241-3733
Practice Address - Street 1:1165 E 88TH ST
Practice Address - Street 2:1165 EAST 88TH STREET
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4762
Practice Address - Country:US
Practice Address - Phone:718-558-5020
Practice Address - Fax:718-241-3733
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY419988163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health