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NPI Code Detail

MEDICARE: HANNAH ROSE ROCKWOOD NP

MEDICARE: HANNAH ROSE ROCKWOOD NP
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
1390200000XStudent in an Organized Health Care Education/Training Program
2363LF0000XFamily Nurse Practitioner357605NY

General Provider Information

NPI Number : 1639968878
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH ROSE ROCKWOOD NP
Provider Business Mailing Address
First Line : 110 IRON PIER DR APT 435
Second Line :
City : SYRACUSE
State : NY
Zip : 13204-1197
Country : US
Telephone Number : 315-481-6981
Fax Number :
Provider Business Practice Location Address
First Line : 725 E ADAMS ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13210-2576
Country : US
Telephone Number : 315-464-5726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2025
Last Update Date : 03/02/2026

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Directions to “ HANNAH ROSE ROCKWOOD NP” Practice Location

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