Individual
ROSELINE JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 E MAIN ST, ANESTHESIA DEPARTMENT, BAY SHORE, NY 11706-8408
(631) 968-3163
Mailing address
PO BOX 29140, SOUTH BAY ANESTHESIA, NEW YORK, NY 10087-9140
(800) 720-1664
(207) 753-2020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
212512
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02085587
—
NY
01
—
P00310173
RAILROAD MEDICARE
—
Enumeration date
06/25/2006
Last updated
04/26/2010
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