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Rita Provinciali, RN
General Practice Registered Nurse in Centereach, New York
NPI 1689440752

Rita Provinciali is a General Practice Registered Nurse based in Centereach, NY and is specialized in General Practice. Rita Provinciali practices in Centereach, NY and has the professional credentials of RN. The NPI Number for Rita Provinciali is 1689440752 and holds a License No. 356086 (New York).

The current practice location address for Rita Provinciali is 14 Lolly Ln, Centereach, NY and can be reached out via phone at 917-669-9249.

Location: 14 Lolly Ln, Centereach, NY, 11720-3802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689440752
Provider Name
Rita Provinciali
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
14 Lolly Ln, Centereach, NY, 11720-3802
Phone Number
917-669-9249
Fax Number
Provider Enumeration Date
11/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14 Lolly Ln
City
Centereach
State
New York
Zip
11720-3802
Phone Number
917-669-9249
Fax Number
person
Provider Business Mailing Address Details
Address
14 Lolly Ln
City
Centereach
State
New York
Zip
11720-3802
Phone Number
917-669-9249
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
356086 (New York)
Definition
Definition to come...
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