Individual
DANIEL ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1776 CLAY AVE, BRONX, NY 10457-7239
(718) 299-1100
Mailing address
1776 CLAY AVE, BRONX, NY 10457-7239
(718) 299-1100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
171565
NY
207R00000X
Internal Medicine Physician
Primary
171565
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01475612
—
NY
Enumeration date
03/06/2007
Last updated
04/11/2012
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