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NPI Code Detail

MEDICARE: DR. ROLAND ROSE DC

MEDICARE: DR. ROLAND ROSE DC
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 : 1326144213
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROLAND ROSE DC
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 08/20/2024

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Directions to “ DR. ROLAND ROSE DC” Practice Location

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