Individual
JEFFREY ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 BROADWAY, MEZZANINE LEVEL, NEW YORK, NY 10007-3001
(212) 374-9500
Mailing address
225 BROADWAY, MEZZANINE LEVEL, NEW YORK, NY 10007-3001
(212) 374-9500
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
050383
NY
Other
Enumeration date
07/10/2007
Last updated
12/26/2013
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