Provider Demographics
NPI:1548896111
Name:ROCCO, BRITTANY LEIGH (BSN, MSN, RN, AGNP)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:LEIGH
Last Name:ROCCO
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Gender:
Credentials:BSN, MSN, RN, AGNP
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Mailing Address - Street 1:565 ROUTE 25A
Mailing Address - Street 2:
Mailing Address - City:MILLER PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11764-2663
Mailing Address - Country:US
Mailing Address - Phone:631-849-3110
Mailing Address - Fax:949-695-4584
Practice Address - Street 1:565 ROUTE 25A
Practice Address - Street 2:
Practice Address - City:MILLER PLACE
Practice Address - State:NY
Practice Address - Zip Code:11764-2663
Practice Address - Country:US
Practice Address - Phone:631-849-3110
Practice Address - Fax:949-695-4584
Is Sole Proprietor?:No
Enumeration Date:2020-03-16
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY309696208D00000X
NY705939-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice