Jerome, Roseline
Jerome, Roseline is an individual health care provider with primary practice located at 301 E Main St Anesthesia Department, Bay Shore NY 11706-8408. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Jerome, Roseline can be contacted via phone (631) 968-3163.Contact Information
Primary practice address
301 E Main St Anesthesia Department
Bay Shore NY 11706-8408
Phone: (631) 968-3163
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 212512 | New York |
Profile Details
| NPI number | 1609802115 |
|---|---|
| LBN Legal business name | Jerome, Roseline |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Apr 26th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609802115 | NPPES |
| Other | P00310173 | RAILROAD MEDICARE | |
| MEDICAID | 02085587 | RAILROAD MEDICARE |
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