Individual provider · NPI-1

Roxanna Insaidoo, REGISTERED PROFESSIO

Registered Nurse, General Practice · Bay Shore, NY

NPI number1457499303

StatusActive

Last updated in NPPESJul 8, 2007

Details

NPI: 1457499303
Entity type: Individual (NPI-1)
Name: Mrs. Roxanna Insaidoo
Credential: REGISTERED PROFESSIO
Sex: Female
Sole proprietor: Yes
Enumeration date: Feb 2, 2007
Last updated: Jul 8, 2007

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WG0000X	Registered Nurse, General Practice	445095-1	NY	Yes

Practice location

1545 Illinois Ave
Bay Shore, NY 11706-2530

Phone 631-521-3387 · Fax 631-206-0537

Mailing address

1545 Illinois Ave
Bay Shore, NY 11706-2530

Phone 631-521-3387 · Fax 631-206-0537

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