Individual
MR. LOUIS ALFRED ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3146 E TREMONT AVE, BRONX, NY 10461-5706
(718) 409-6280
(718) 409-4110
Mailing address
3146 E TREMONT AVE, BRONX, NY 10461-5706
(718) 409-6280
(718) 409-4110
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
C13828
NY
332BC3200X
Customized Equipment (DME)
C13828
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01488857
—
NY
Enumeration date
08/18/2006
Last updated
10/07/2021
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