| Doctor Name: | JEFFREY ROSE |
| NPI Number: | 1700123619 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 40QA00840800 |
| Business Practice Address: | 300 Rte 17 Mahwah, NJ - 074302141 |
| Business Phone Number: | 2015298322 |
| Business Fax Number: | 2015298377 |
| Mailing Address: | 2142 Utopia Pkwy, WHITESTONE |
| State: | NY |
| Postal Code: | 113574142 |
| Phone Number: | 7187670610 |
| Fax Number: | 5167509076 |
| NPI Enumeration Date: | 01/11/2013 |
| NPI Last Update Date: | 01/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA00840800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |