Denise Colletta
Individual provider Active NPI Registered Nurse · Rocky Point, NY
NPI 1063973113 · NPPES record last updated Mar 29, 2019
Key facts
- NPI
- 1063973113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 419788 (NY)
- Practice address
- 110 Longview Ave
Rocky Point, NY 11778-9117 - Phone
- (347) 665-4752
- Fax
- (929) 208-4517
- NPI assigned
- Mar 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 419788 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 419788 | NY | Yes |
Addresses
Primary practice location
110 Longview Ave
Rocky Point, NY 11778-9117
Mailing address
110 Longview Ave
Rocky Point, NY 11778-9117
Phone (347) 665-4752
Other providers in Rocky Point, NY
- City Medical of Upper East Side, PLLC
- Kimberly Cher Coberg
- Christina Danielle Coburn
- Catherine Coffey
- Richard Cohen
- Comfort Dental at Rocky Point PLLC
- Compassionate Counseling Collective
- Mary Elizabeth Conway
- Andrew Louis Cooper
- Robert Allen Corrice
All providers in Rocky Point, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.