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NPI Code Detail

MEDICARE: JENNIFER A ROSEN PT

MEDICARE:   JENNIFER A ROSEN  PT
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
1225100000XPhysical Therapist026345-1NY

General Provider Information

NPI Number : 1699859272
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER A ROSEN PT
Provider Business Mailing Address
First Line : 95 BELVOIR RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-3615
Country : US
Telephone Number : 716-531-9037
Fax Number :
Provider Business Practice Location Address
First Line : 4242 RIDGE LEA RD
Second Line : SUITE 2
City : AMHERST
State : NY
Zip : 14226-1051
Country : US
Telephone Number : 716-819-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 05/01/2014

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Directions to “ JENNIFER A ROSEN PT” Practice Location

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