MEDICARE: MARIOLINA BARTOLOMEO

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
1	363LF0000X	Family Nurse Practitioner	357771	NY
2	363LA2200X	Adult Health Nurse Practitioner	357771	NY

General Provider Information

NPI Number	:	1013387471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIOLINA BARTOLOMEO

Provider Business Mailing Address
First Line	:	622 W 168TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-3720
Country	:	US
Telephone Number	:	212-305-6204
Fax Number	:	212-342-1690

Provider Business Practice Location Address
First Line	:	622 W 168TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-3720
Country	:	US
Telephone Number	:	212-305-6204
Fax Number	:	212-342-1690

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2015
Last Update Date	:	06/02/2026

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Directions to “ MARIOLINA BARTOLOMEO ” Practice Location

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