Kenneth M. Rose, M.d., Pllc

NPI #1770711301 in New York, New York

Provider Information

NPI Number: 1770711301
Entity Type: Organization
Organization Name: Kenneth M. Rose, M.d., Pllc
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Jun 22, 2009
Last Updated: Jun 22, 2009

Practice Location

Address: 75 CENTRAL PARK W
City: New York
State: New York
ZIP Code: 10023-6011
Phone: (212) 888-7773

Authorized Official

Name: MS. JUANITA BUTLER
Title: OFFICE MANAGER
Phone: (212) 888-7773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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