MEDICARE: MS. ROSEMARY JAMES-LAWRENCE REGISTERED NURSE

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	163W00000X	Registered Nurse	445074-1	NY

General Provider Information

NPI Number	:	1427459353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSEMARY JAMES-LAWRENCE REGISTERED NURSE

Provider Business Mailing Address
First Line	:	1124 BERGEN AVE
Second Line	:	#2
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5419
Country	:	US
Telephone Number	:	917-202-0463
Fax Number	:	718-763-8069

Provider Business Practice Location Address
First Line	:	1124 BERGEN AVE
Second Line	:	#2
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5419
Country	:	US
Telephone Number	:	917-202-0463
Fax Number	:	718-763-8069

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

Provider Enumeration Date	:	09/10/2014
Last Update Date	:	09/10/2014

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