Tina M Rose

NPI #1801192349 in Selden, New York

Provider Information

NPI Number: 1801192349
Entity Type: Individual
Name: Tina M Rose
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Feb 1, 2011
Last Updated: Feb 1, 2011

Practice Location

Address: 14 ABINET CT
City: Selden
State: New York
ZIP Code: 11784-2025
Phone: (631) 365-5940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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