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NPI Code Detail

MEDICARE: ROSE CHIROPRACTIC, HEALTH & WELLNESS P.C.

MEDICARE: ROSE CHIROPRACTIC, HEALTH & WELLNESS P.C.
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
1111N00000XChiropractorX010712NY

General Provider Information

NPI Number : 1225211881
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSE CHIROPRACTIC, HEALTH & WELLNESS P.C.
Provider Business Mailing Address
First Line : 10825 MERRICK BLVD
Second Line :
City : JAMAICA
State : NY
Zip : 11433-2906
Country : US
Telephone Number : 718-658-9700
Fax Number : 718-658-9703
Provider Business Practice Location Address
First Line : 10825 MERRICK BLVD
Second Line :
City : JAMAICA
State : NY
Zip : 11433-2906
Country : US
Telephone Number : 718-658-9700
Fax Number : 718-658-9703
Authorized Official
Title or Position : OWNER
Name : DR. ROLAND M. ROSE
Credential : D.C.
Telephone Number : 718-658-9700
Provider Enumeration Date : 12/06/2007
Last Update Date : 11/24/2015

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Directions to “ROSE CHIROPRACTIC, HEALTH & WELLNESS P.C. ” Practice Location

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