Organization
JNR SPORTS MEDICINE PC
Active
Organization
JNR SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD ROSE M.D. (SOLE PROPRIETOR)
(212) 427-7750
Entity
Organization
Contact information
Practice address
1095 PARK AVE, NEW YORK, NY 10128-1154
(212) 427-7750
(212) 427-7759
Mailing address
1095 PARK AVE, NEW YORK, NY 10128-1154
(212) 427-7750
(212) 427-7759
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
147983
NY
Other
Enumeration date
12/15/2008
Last updated
12/06/2010
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