Provider Demographics
NPI:1053196618
Name:ZERQUERA, ROSMANY G (NP)
Entity type:Individual
Prefix:
First Name:ROSMANY
Middle Name:G
Last Name:ZERQUERA
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9411 JACOB LN
Mailing Address - Street 2:
Mailing Address - City:BREWERTON
Mailing Address - State:NY
Mailing Address - Zip Code:13029-9450
Mailing Address - Country:US
Mailing Address - Phone:786-333-3364
Mailing Address - Fax:
Practice Address - Street 1:9411 JACOB LN
Practice Address - Street 2:
Practice Address - City:BREWERTON
Practice Address - State:NY
Practice Address - Zip Code:13029-9450
Practice Address - Country:US
Practice Address - Phone:305-770-8036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY311478363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner