Individual
MRS. ALLISON CHRISTINE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPED
Contact information
Practice address
97 RICHARD LN, STATEN ISLAND, NY 10314-1621
(718) 619-7005
Mailing address
97 RICHARD LN, STATEN ISLAND, NY 10314-1621
(718) 619-7005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1213232
NY
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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