Individual
ROSANNA ADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3000
Mailing address
5 SUTTON ST, APT PH, BROOKLYN, NY 11222-5142
(845) 269-5073
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23014721
NY
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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