Mary Heather Rosen, PA
Physician Assistant in Warsaw, NY. Individual provider (NPI-1).
NPI number1265628580
StatusActive
Last updated in NPPESJun 29, 2023
Details
- NPI
- 1265628580
- Entity type
- Individual (NPI-1)
- Name
- Mary Heather Rosen
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2007
- Last updated
- Jun 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 011923 | NY | Yes |
| 363A00000X | Physician Assistant | 11923 | NY |
Practice location
76 N Main StreetWarsaw, NY 14569
Phone 585-786-3503 · Fax 585-786-3505
Mailing address
76 N Main StWarsaw, NY 14569-1329
Phone 585-786-3503 · Fax 585-786-3505
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Other Physician Assistant providers in Warsaw, NY
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