Individual
AUBREY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 828-9500
Mailing address
325 MILL RD, APT N 55, EAST AURORA, NY 14052-2841
(716) 870-5649
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
107001071
NY
174400000X
Specialist
107311071
NY
174400000X
Specialist
292023091
NY
174400000X
Specialist
306819091
NY
174400000X
Specialist
Primary
306820091
NY
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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