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NPI Code Detail

MEDICARE: THRISHELL ROSE

MEDICARE: THRISHELL ROSE
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
1163W00000XRegistered Nurse7143641NY

General Provider Information

NPI Number : 1538658356
Entity Type Code : Individual
Provider Name (Legal Business Name) : THRISHELL ROSE
Provider Business Mailing Address
First Line : 1217 E 94TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-3930
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 155 DEAN ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-2213
Country : US
Telephone Number : 718-694-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2018
Last Update Date : 05/07/2018

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Directions to “ THRISHELL ROSE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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