Individual
AMY E ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
31 NORTHERN BLVD, GREENVALE, NY 11548-1320
(516) 484-9000
(516) 484-7549
Mailing address
401 E 74TH ST APT 5RS, NEW YORK, NY 10021-3919
(917) 414-1373
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
247173
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/06/2007
Last updated
11/23/2021
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