Individual
SAMANTHA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1104, NEW YORK, NY 10029-6500
(212) 241-7788
(212) 876-3255
Mailing address
1 GUSTAVE L LEVY PL, BOX 1202B, NEW YORK, NY 10029-6504
(212) 241-7788
(212) 876-3255
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382258
NY
Other
Enumeration date
12/14/2011
Last updated
01/12/2017
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