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Individual

ELIZABETH ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
293 E 149TH ST, BRONX, NY 10451-5601
(646) 404-5004
(646) 404-5006
Mailing address
293 E 149TH ST, BRONX, NY 10451-5601
(646) 404-5004
(646) 404-5006

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304489 1
NY

Other

Enumeration date
09/26/2007
Last updated
09/26/2012
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