Individual
DR. MARC KENNEDY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
227 E 19TH ST, NEW YORK, NY 10003-2602
(212) 995-6661
(212) 979-3579
Mailing address
158 W 27TH ST, 11TH FLOOR SOUTH, NEW YORK, NY 10001-6216
(212) 563-2497
(212) 563-0605
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1842451
NY
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
184245
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01449229
—
NY
Enumeration date
09/08/2006
Last updated
04/09/2025
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