Rose, Brenda J

Rose, Brenda J is an individual health care provider with primary practice located at 1000 E Genesee St Ste 300, Syracuse NY 13210-1892. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Rose, Brenda J can be contacted via phone (315) 471-1044.

Contact Information

Primary practice address
1000 E Genesee St Ste 300 Syracuse NY 13210-1892
Phone: (315) 471-1044
Fax: (315) 474-4312
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F334045 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F334045 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F334045 New York

Profile Details

NPI number 1801883350
LBN Legal business name Rose, Brenda J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Nov 11th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801883350 NPPES
New York MEDICAID 02593222

Popular Providers