Individual
MARION B ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 W MAIN ST, SUITE 204, BABYLON, NY 11702-3027
(631) 539-5400
(631) 539-5401
Mailing address
500 WEST MAIN STREET, SUITE 204, BABYLON, NY 11702
(631) 539-5400
(631) 539-5401
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
195321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02372058
—
NY
01
—
040426011188
FIDELIS
NY
01
—
129244
VYTRA HEALTHCARE
NY
01
—
2136266
UNITED HEALTHCARE
NY
01
—
2198784
GHI
NY
01
—
25-01913
UNITEDHEALTHCARE CHILD HE
NY
01
—
3021002-003
CIGNA
NY
01
—
5E6181
BLUE CROSS BLUE SHIELD
NY
01
—
AA71772
MDNY HEALTHCARE
NY
01
—
P2734825
OXFORD HEALTH
NY
Enumeration date
06/15/2005
Last updated
07/30/2015
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