Individual
LINDA R. ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1495 SHORE DR, BRONX, NY 10465-1559
(646) 573-3059
Mailing address
1495 SHORE DR, BRONX, NY 10465-1559
(646) 573-3059
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
436238
NY
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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