Healthcare Provider Details

I. General information

NPI: 1649493602
Provider Name (Legal Business Name): THROGS NECK MULTI CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3058 E TREMONT AVE
BRONX NY
10461-5726
US

IV. Provider business mailing address

3058 E TREMONT AVE
BRONX NY
10461-5726
US

V. Phone/Fax

Practice location:
  • Phone: 718-409-0500
  • Fax: 718-419-0306
Mailing address:
  • Phone: 718-409-0500
  • Fax: 718-419-0306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number019093
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number154900
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number153790
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code2081H0002X
TaxonomyHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
License Number163147
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number019093
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number008674
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number010820
License Number StateNY
# 8
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0000020
License Number StateNY
# 9
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number00207
License Number StateNY
# 10
Primary TaxonomyY
Taxonomy Code2471N0900X
TaxonomyNuclear Medicine Technology Radiologic Technologist
License Number876984
License Number StateNY

VIII. Authorized Official

Name: DR. LOUIS C ROSE
Title or Position: CEO
Credential: M.D.
Phone: 718-409-0500