Provider Demographics
NPI:1962171496
Name:DEL ROSARIO, MICHELLE A (NP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:A
Last Name:DEL ROSARIO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:754 PALISADE AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10703-1885
Mailing Address - Country:US
Mailing Address - Phone:917-239-2353
Mailing Address - Fax:
Practice Address - Street 1:754 PALISADE AVE APT 3
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-1885
Practice Address - Country:US
Practice Address - Phone:917-239-2353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY347494363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily