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NPI Code Detail

MEDICARE: ROSE LOUIS

MEDICARE: ROSE LOUIS
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
1164W00000XLicensed Practical NursePN5269944FL

General Provider Information

NPI Number : 1366301012
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSE LOUIS
Provider Business Mailing Address
First Line : 89 BARTLETT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-4463
Country : US
Telephone Number : 718-828-2666
Fax Number :
Provider Business Practice Location Address
First Line : 89 BARTLETT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-4463
Country : US
Telephone Number : 718-828-2666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ ROSE LOUIS ” Practice Location

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