Individual
DR. MATTHEW HENRY ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7030 E GENESEE ST, SUITE 109, FAYETTEVILLE, NY 13066-1121
(315) 510-6760
(315) 446-7521
Mailing address
7030 E GENESEE ST, SUITE 109, FAYETTEVILLE, NY 13066-1121
(315) 510-6760
(315) 446-7521
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2005-01928
NC
2084P0800X
Psychiatry Physician
Primary
243698-1
NY
Other
Enumeration date
05/22/2007
Last updated
08/21/2014
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