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Organization

KENNETH M. ROSE, M.D.,

Active
Other names
Kenneth M. Rose, M.D.,PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
JUANITA BUTLER (ADMINISTRATOR)
(212) 888-7773
Entity
Organization

Contact information

Practice address
170 WILLIAM ST, NEW YORK, NY 10038-2612
(212) 888-7773
(212) 421-7930
Mailing address
300 E 56TH ST, SUITE #10C, NEW YORK, NY 10022-4136
(212) 888-7773
(212) 421-7930

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
186699
NY

Other

Enumeration date
09/01/2015
Last updated
09/01/2015
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