Individual
ELIZABETH ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 798-5230
(607) 798-6720
Mailing address
194 RICHARDS RD, CHENANGO FORKS, NY 13746-1628
(607) 643-3217
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F340836-1
NY
Other
Enumeration date
08/18/2016
Last updated
09/05/2024
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