Latessa, Victoria Rose

Latessa, Victoria Rose is an individual health care provider with primary practice located at 130 E 77Th St , New York NY 10021-1851. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Latessa, Victoria Rose can be contacted via phone (212) 434-3411.

Contact Information

Primary practice address
130 E 77Th St New York NY 10021-1851
Phone: (212) 434-3411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 503782-1 New York

Profile Details

NPI number 1255311304
LBN Legal business name Latessa, Victoria Rose
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255311304 NPPES
New York MEDICAID 02075652

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