Doctor Name: | MS. CHRISTINE ELLEN ROSE |
NPI Number: | 1235233917 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPA |
License Number: | 005136-1 |
Business Practice Address: | 213 State Route 245 Rushville, NY - 145449604 |
Business Phone Number: | 5855543119 |
Business Fax Number: | 5855543323 |
Mailing Address: | 213 State Route 245, RUSHVILLE |
State: | NY |
Postal Code: | 145449604 |
Phone Number: | 5855543119 |
Fax Number: | 5855543323 |
NPI Enumeration Date: | 09/12/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 005136-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |