MEDICARE: DR. PATRICIA ANN ROSSI M.D.

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
1	207R00000X	Internal Medicine Physician	137640	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	137640	OTHER	NY	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	36257	OTHER	NJ	LICENSE NUMBER

General Provider Information

NPI Number	:	1497759997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA ANN ROSSI M.D.

Provider Business Mailing Address
First Line	:	3 FORESTER AVE
Second Line	:
City	:	WARWICK
State	:	NY
Zip	:	10990-1129
Country	:	US
Telephone Number	:	845-986-3025
Fax Number	:	845-986-1393

Provider Business Practice Location Address
First Line	:	3 FORESTER AVE
Second Line	:
City	:	WARWICK
State	:	NY
Zip	:	10990-1129
Country	:	US
Telephone Number	:	845-986-3025
Fax Number	:	845-986-1393

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	07/08/2007

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