National Provider Identifier

Aubrey Rose

Aubrey Rose is listed in the NPPES registry with a primary specialty of Specialist in Lackawanna, NY and a listed phone number of (716) 828-9500.

NPI 1023365343Lackawanna, NYSpecialist

Profile Overview

NPI
1023365343
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
August 06, 2012
Last Updated
August 06, 2012

Practice Location

  • 780 Ridge RD
  • Lackawanna, NY 14218-1629

Phone: (716) 828-9500

Mailing Address

  • 325 Mill RD
  • Apt N 55
  • East Aurora, NY 14052-2841

Specialties

  • Specialist (174400000X)
  • Specialist (174400000X)
Full Record
NPI
1023365343
Entity Type
Individual
Last Name
Rose
First Name
Aubrey
Provider Other Last Name
Demmin
Provider Other First Name
Aubrey
Provider Other Last Name Type Code
1
Mailing Street Address
325 Mill RD
Mailing Address Line 2
Apt N 55
Mailing City
East Aurora
Mailing State
NY
Mailing ZIP Code
14052-2841
Mailing Country
US
Mailing Phone
(716) 870-5649
Practice Street Address
780 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1629
Practice Country
US
Practice Phone
(716) 828-9500
Enumeration Date
August 06, 2012
Last Updated
August 06, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X), Specialist (174400000X)