person
Mrs. Joanna Rose Dematteo Kopf, RN
Home Health Registered Nurse in Holbrook, New York
NPI 1265699839

Joanna Rose Dematteo Kopf is a Home Health Registered Nurse based in Holbrook, NY and is specialized in Home Health. Joanna Rose Dematteo Kopf practices in Holbrook, NY and has the professional credentials of RN. The NPI Number for Joanna Rose Dematteo Kopf is 1265699839 and holds a License No. 429547-1 (New York).

The current practice location address for Joanna Rose Dematteo Kopf is 12 Cannon Dr, Holbrook, NY and can be reached out via phone at 631-256-6493 and via fax at 631-256-6493.

Location: 12 Cannon Dr, Holbrook, NY, 11741-5202
person
Provider Profile Details
NPI Number
1265699839
Provider Name
Joanna Rose Dematteo Kopf
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
12 Cannon Dr, Holbrook, NY, 11741-5202
Phone Number
631-256-6493
Fax Number
631-256-6493
Provider Enumeration Date
05/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01261816 05 NY
institution
Provider Business Practice Location Address Details
Address
12 Cannon Dr
City
State
Zip
11741-5202
Phone Number
631-256-6493
Fax Number
631-256-6493
person
Provider Business Mailing Address Details
Address
12 Cannon Dr
City
State
Zip
11741-5202
Phone Number
631-256-6493
Fax Number
631-256-6493
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
License No.
429547-1 (New York)
Definition
Definition to come...
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