Rose, Theresa E

Rose, Theresa E is an individual health care provider with primary practice located at 2350 Ridgeway Ave Suite A, Rochester NY 14626-4112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Rose, Theresa E can be contacted via phone (585) 225-0410.

Contact Information

Primary practice address
2350 Ridgeway Ave Suite A Rochester NY 14626-4112
Phone: (585) 225-0410
Fax: (585) 225-1921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003727 New York

Profile Details

NPI number 1194792689
LBN Legal business name Rose, Theresa E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jan 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194792689 NPPES
New York MEDICAID 02625845

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