Healthcare Provider Details

I. General information

NPI: 1942503859
Provider Name (Legal Business Name): EMILIE FITZMAURICE ROSNER CNM, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILIE SARAH FITZMAURICE CNM, WHNP

II. Dates (important events)

Enumeration Date: 12/15/2010
Last Update Date: 05/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4487 3RD AVE
BRONX NY
10457-1526
US

IV. Provider business mailing address

4422 3RD AVE
BRONX NY
10457-2545
US

V. Phone/Fax

Practice location:
  • Phone: 718-960-6430
  • Fax:
Mailing address:
  • Phone: 718-960-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number420994
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number001418
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: