Individual
MRS. STEPHANIE L ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
419 CENTRAL AVENUE, DUNKIRK, NY 14048
(716) 672-2000
(716) 363-2172
Mailing address
99 LAKE AVE, BROCTON, NY 14716-9755
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003173
NY
2255A2300X
Athletic Trainer
3173
NY
Other
Enumeration date
07/11/2016
Last updated
08/07/2025
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