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NPI Code Detail

MEDICARE: MRS. ELIZABETH ROZESTRATEN

MEDICARE: MRS. ELIZABETH ROZESTRATEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist002874-1NY

General Provider Information

NPI Number : 1043529530
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH ROZESTRATEN
Provider Business Mailing Address
First Line : 500 WEBSTER AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14609-4732
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 WEBSTER AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14609-4732
Country : US
Telephone Number : 585-482-9290
Fax Number : 585-935-7433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2010
Last Update Date : 09/30/2010

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Directions to “ MRS. ELIZABETH ROZESTRATEN ” Practice Location

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