Organization
KENNETH M. ROSE, M.D., PLLC
Active
Other names
Kenneth M. Rose, M.D., PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUANITA BUTLER (OFFICE MANAGER)
(212) 888-7773
Entity
Organization
Contact information
Practice address
75 CENTRAL PARK W, NEW YORK, NY 10023-6011
(212) 888-7773
(212) 421-7030
Mailing address
75 CENTRAL PARK W, NEW YORK, NY 10023-6011
(212) 888-7773
(212) 421-7930
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
188699-1
NY
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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