National Provider Identifier

Roxana Ontaneda

Roxana Ontaneda is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Fairport, NY and a listed phone number of (201) 926-9117.

NPI 1912442054Fairport, NYLicensed Practical Nurse

Profile Overview

NPI
1912442054
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 28, 2016
Last Updated
December 28, 2016

Practice Location

  • 33 Alpine Knl
  • Fairport, NY 14450-1721

Phone: (201) 926-9117

Mailing Address

  • 33 Alpine Knl
  • Fairport, NY 14450

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1912442054
Entity Type
Individual
Last Name
Ontaneda
First Name
Roxana
Mailing Street Address
33 Alpine Knl
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450
Mailing Country
US
Mailing Phone
(201) 926-9117
Practice Street Address
33 Alpine Knl
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1721
Practice Country
US
Practice Phone
(201) 926-9117
Enumeration Date
December 28, 2016
Last Updated
December 28, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)