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Individual
ROSE DIRENY-JEAN
Active
Individual
ROSE DIRENY-JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004500
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02243245
—
NY
01
—
970024027
RAILROAD
NY
Enumeration date
11/01/2006
Last updated
10/31/2008
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