Provider Demographics
NPI:1366933574
Name:DELLAMONICA, ESTHER MARIE (LPN)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:MARIE
Last Name:DELLAMONICA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 MOUNT READ BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14611-1125
Mailing Address - Country:US
Mailing Address - Phone:585-362-6314
Mailing Address - Fax:
Practice Address - Street 1:423 MOUNT READ BLVD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14611-1125
Practice Address - Country:US
Practice Address - Phone:585-362-6314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY327567164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse