Individual
SPENCER Z ROSERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-4775
Mailing address
601 ELMWOOD AVE, BOX 679B, ROCHESTER, NY 14642-0001
(585) 275-4775
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
196764
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
196764
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02148465
—
NY
01
—
060058488
MEDICARE RAILRAOD
NY
01
—
915684001
BC/BS OF WESTERN NY
NY
Enumeration date
06/14/2006
Last updated
07/03/2023
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