Individual
MS. GEORGIA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 W END AVE, Y2, NEW YORK, NY 10023-2504
(212) 531-2229
(914) 462-4409
Mailing address
123 W 93RD ST, #10C, NEW YORK, NY 10025-7572
(212) 864-3630
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
F000247-1
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F360267-1
NY
Other
Enumeration date
08/17/2006
Last updated
10/09/2017
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