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NPI Code Detail

MEDICARE: MS. MARIANN JAYE MONFORTE-DITORE RN

MEDICARE:  MS. MARIANN JAYE MONFORTE-DITORE  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 Nurse604850-1NY

General Provider Information

NPI Number : 1013151356
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIANN JAYE MONFORTE-DITORE RN
Provider Business Mailing Address
First Line : 256 HILLMAN AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3308
Country : US
Telephone Number : 718-761-7023
Fax Number :
Provider Business Practice Location Address
First Line : 256 HILLMAN AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3308
Country : US
Telephone Number : 718-761-7023
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2009
Last Update Date : 04/30/2009

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