Individual
FREDERICK B ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5533
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5533
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
152859
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00365348
—
NY
Enumeration date
06/28/2006
Last updated
01/22/2009
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