Individual
ALEXIS ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
463 WILLIAM ST, BUFFALO, NY 14204-1811
(716) 895-6701
Mailing address
191 REBECCA PARK, BUFFALO, NY 14207-1807
(716) 520-2605
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P-5412
NY
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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