Individual
DR. JOANNE G ROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
151 INTREPID LN, SYRACUSE, NY 13205-2552
(315) 469-8191
(315) 469-4482
Mailing address
151 INTREPID LN, SYRACUSE, NY 13205-2552
(315) 469-8191
(315) 469-4482
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
191681
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01397837
—
NY
Enumeration date
11/22/2005
Last updated
02/14/2008
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