Individual
DR. ROBERT ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
69 S MOGER AVE, MOUNT KISCO, NY 10549-2217
(914) 666-5870
Mailing address
69 S MOGER AVE, MOUNT KISCO, NY 10549-2217
(914) 666-5870
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT003481-1
NY
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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