Individual
MRS. RITA M ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10 BENTON AVENUE, MIDDLETOWN, NY 10940
(845) 343-8838
(845) 343-7017
Mailing address
PO BOX 987, 21 ORCHARD STREET, MIDDLETOWN, NY 10940
(845) 343-7614
(845) 343-5390
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
002009
NY
133V00000X
Registered Dietitian
Primary
002009
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002009
LIC NUMBER
NY
05
—
00355931
—
NY
Enumeration date
02/20/2008
Last updated
02/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us