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NPI Code Detail

MEDICARE: MISS ROCHELLE ALECIA GOODLITT RN

MEDICARE: MISS ROCHELLE ALECIA GOODLITT RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse667922NY

General Provider Information

NPI Number : 1215270129
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ROCHELLE ALECIA GOODLITT RN
Provider Business Mailing Address
First Line : 955 E 82ND ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-3811
Country : US
Telephone Number : 713-894-2583
Fax Number :
Provider Business Practice Location Address
First Line : 955 E 82ND ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-3811
Country : US
Telephone Number : 713-894-2583
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2013
Last Update Date : 12/12/2013

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