Individual
MISS ROSE KADOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8210 19TH AVE APT B3, BROOKLYN, NY 11214-2329
(347) 779-3104
Mailing address
8210 19TH AVE APT B3, BROOKLYN, NY 11214-2329
(347) 779-3104
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
9190L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TF-3831216
—
NY
Enumeration date
02/01/2020
Last updated
02/01/2020
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