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NPI Code Detail

MEDICARE: PAMELA ROSSI MS SP. ED

MEDICARE: PAMELA ROSSI MS SP. ED
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
1174400000XSpecialist1373209NY

General Provider Information

NPI Number : 1447500913
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA ROSSI MS SP. ED
Provider Business Mailing Address
First Line : 1519 ROSELLE ST
Second Line :
City : BRONX
State : NY
Zip : 10461-2404
Country : US
Telephone Number : 917-981-4760
Fax Number :
Provider Business Practice Location Address
First Line : 1519 ROSELLE ST
Second Line :
City : BRONX
State : NY
Zip : 10461-2404
Country : US
Telephone Number : 917-981-4760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2012
Last Update Date : 09/12/2012

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