Provider Demographics
NPI:1306087812
Name:DUARTE-BOVELL, ROSAMUND THERESA (ROSAMUND DUARTE-BOV)
Entity type:Individual
Prefix:
First Name:ROSAMUND
Middle Name:THERESA
Last Name:DUARTE-BOVELL
Suffix:
Gender:F
Credentials:ROSAMUND DUARTE-BOV
Other - Prefix:
Other - First Name:ROSAMUND
Other - Middle Name:T
Other - Last Name:DUARTE-BOVELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ROSAMUND DUARTE-BOV
Mailing Address - Street 1:P.O BOX 443
Mailing Address - Street 2:
Mailing Address - City:HASTINGS-ON-HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706
Mailing Address - Country:US
Mailing Address - Phone:914-843-4532
Mailing Address - Fax:
Practice Address - Street 1:137 OLIVER AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701
Practice Address - Country:US
Practice Address - Phone:914-843-4532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY399702-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse