National Provider Identifier
Willis Anthony Rosena, D.P.M.
Willis Anthony Rosena, D.P.M. is listed in the NPPES registry with a primary specialty of Podiatrist in North Tonawanda, NY and a listed phone number of (716) 692-1451.
Profile Overview
- NPI
- 1093943235
- Provider Type
- Individual
- Primary Specialty
- Podiatrist
- Enumeration Date
- June 25, 2009
- Last Updated
- April 16, 2015
Practice Location
- 87 Mead St
- North Tonawanda, NY 14120-4444
Phone: (716) 692-1451
Specialties
- Podiatrist (213E00000X)
- Foot Surgery Podiatrist (213ES0131X)
Full Record
- NPI
- 1093943235
- Entity Type
- Individual
- Last Name
- Rosena
- First Name
- Willis
- Middle Name
- Anthony
- Name Prefix
- Dr.
- Credential
- D.P.M.
- Mailing Street Address
- 87 Mead St
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-4444
- Mailing Country
- US
- Mailing Phone
- (716) 692-1451
- Mailing Fax
- (716) 692-1495
- Practice Street Address
- 87 Mead St
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-4444
- Practice Country
- US
- Practice Phone
- (716) 692-1451
- Practice Fax
- (716) 692-1495
- Enumeration Date
- June 25, 2009
- Last Updated
- April 16, 2015
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Podiatrist (213E00000X), Foot Surgery Podiatrist (213ES0131X)