Rose Blaise
NPI #1104265388 in Lindenhurst, New York
Provider Information
- NPI Number
- 1104265388
- Entity Type
- Individual
- Name
- Rose Blaise
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Jun 20, 2013
- Last Updated
- May 9, 2019
Practice Location
- Address
- 573 S 5TH ST
- City
- Lindenhurst
- State
- New York
- ZIP Code
- 11757-4628
- Phone
- (631) 592-1685
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
| Registered Nurse |
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