Erica M Rose, PA
Physician Assistant, Surgical in New Hyde Park, NY. Individual provider (NPI-1).
NPI number1154413151
StatusActive
Last updated in NPPESDec 15, 2022
Details
- NPI
- 1154413151
- Entity type
- Individual (NPI-1)
- Name
- Erica M Rose
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2006
- Certification date
- Nov 10, 2022
- Last updated
- Dec 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 011111 | NY | Yes |
Practice location
27005 76th AveNew Hyde Park, NY 11040-1433
Phone 718-470-4526 · Fax 718-343-3429
Mailing address
175 Community DrGreat Neck, NY 11021-5502
Phone 516-465-1900 · Fax 516-465-1830
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All 36 Surgical Physician Assistant providers in New Hyde Park · All 4,864 providers in New Hyde Park
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