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Individual
JUSTINE MARY ROSS
Active
Individual
JUSTINE MARY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
24079
NY
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
08/19/2019
Last updated
06/30/2023
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