Individual
JEFFREY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
300 RTE 17, MAHWAH, NJ 07430-2141
(201) 529-8322
(201) 529-8377
Mailing address
2142 UTOPIA PKWY, WHITESTONE, NY 11357-4142
(718) 767-0610
(516) 750-9076
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00840800
NJ
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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