Provider Demographics
NPI:1609291061
Name:ROSPIDE, MONETTE
Entity type:Individual
Prefix:
First Name:MONETTE
Middle Name:
Last Name:ROSPIDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1049 MONTGOMERY ST
Mailing Address - Street 2:APT: 5F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-5952
Mailing Address - Country:US
Mailing Address - Phone:917-605-5627
Mailing Address - Fax:
Practice Address - Street 1:1049 MONTGOMERY ST
Practice Address - Street 2:APT: 5F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-5952
Practice Address - Country:US
Practice Address - Phone:917-605-5627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY635945163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse