Provider Demographics
NPI:1528345725
Name:CORTELYOU, ROCHELLE MARIE (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:ROCHELLE
Middle Name:MARIE
Last Name:CORTELYOU
Suffix:
Gender:F
Credentials:REGISTERED NURSE
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Mailing Address - Street 1:2300 GUILDERLAND AVE
Mailing Address - Street 2:VAN CORLAER ELEMENTARY SCHOOL
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306
Mailing Address - Country:US
Mailing Address - Phone:518-370-8154
Mailing Address - Fax:518-881-3742
Practice Address - Street 1:2300 GUILDERLAND AVE
Practice Address - Street 2:VAN CORLAER ELEMENTARY SCHOOL
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12306
Practice Address - Country:US
Practice Address - Phone:518-370-8154
Practice Address - Fax:518-881-3742
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY6343478163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse