Individual
DAVID ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5496 E TAFT RD, NORTH SYRACUSE, NY 13212-3784
(315) 552-6700
Mailing address
5496 E TAFT RD, NORTH SYRACUSE, NY 13212-3784
(315) 552-6700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015422
NY
Other
Enumeration date
06/09/2014
Last updated
02/13/2019
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