Rose, Kenneth M
Rose, Kenneth M is an individual health care provider with primary practice located at 75 Central Park W , New York NY 10023-6011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Rose, Kenneth M can be contacted via phone (212) 888-7773.Contact Information
Primary practice address
75 Central Park W
New York NY 10023-6011
Phone: (212) 888-7773
Fax: (212) 421-7930
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 188699 | New York |
Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | 188699 | New York |
Profile Details
NPI number | 1710033584 |
---|---|
LBN Legal business name | Rose, Kenneth M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2007 |
Last updated | Jun 22nd, 2009 - about 15 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 | 1710033584 | NPPES |
New York | Other | 6015129 | GHI |
New York | MEDICAID | 01776865 | GHI |
New York | Other | N28073 | GHI |
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