Rosanna Adis, PA
Physician Assistant, Medical in Jamaica, NY. Individual provider (NPI-1).
NPI number1174812481
StatusActive
Last updated in NPPESApr 7, 2011
Details
- NPI
- 1174812481
- Entity type
- Individual (NPI-1)
- Name
- Rosanna Adis
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2011
- Last updated
- Apr 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 23014721 | NY | Yes |
Practice location
8268 164th StJamaica, NY 11432-1121
Phone 718-883-3000
Mailing address
5 Sutton StApt Ph
Brooklyn, NY 11222-5142
Phone 845-269-5073
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