Organization
PETER A. ROSA DDS, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT DALLMANN (BILLING MANAGER)
(212) 206-6465
Entity
Organization
Contact information
Practice address
1049 5TH AVE, SUITE 1A, NEW YORK, NY 10028-0115
(212) 861-1961
(212) 861-0561
Mailing address
1049 5TH AVE, SUITE 1A, NEW YORK, NY 10028-0115
(212) 861-1961
(212) 861-0561
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
252964
NY
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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