Provider Demographics
NPI:1427459353
Name:JAMES-LAWRENCE, ROSEMARY (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:
Last Name:JAMES-LAWRENCE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 BERGEN AVE
Mailing Address - Street 2:#2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5419
Mailing Address - Country:US
Mailing Address - Phone:917-202-0463
Mailing Address - Fax:718-763-8069
Practice Address - Street 1:1124 BERGEN AVE
Practice Address - Street 2:#2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5419
Practice Address - Country:US
Practice Address - Phone:917-202-0463
Practice Address - Fax:718-763-8069
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-10
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY445074-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse