Individual
RENA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8801 SHORE RD BSMT OFFICE, BROOKLYN, NY 11209-5402
(347) 601-0708
Mailing address
8801 SHORE RD BSMT OFFICE, BROOKLYN, NY 11209-5402
(347) 601-0708
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
F311350-01
NY
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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