Kenison-Rose, Melissa M

Kenison-Rose, Melissa M is an individual health care provider with primary practice located at 2 Knolls Rd S , Queensbury NY 12804-9332. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kenison-Rose, Melissa M can be contacted via phone (518) 761-6794.

Contact Information

Primary practice address
2 Knolls Rd S Queensbury NY 12804-9332
Phone: (518) 761-6794
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 014114-1 New York

Profile Details

NPI number 1225138175
LBN Legal business name Kenison-Rose, Melissa M
Credentials MS, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Aug 19th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225138175 NPPES
New York MEDICAID 00752456

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