National Provider Identifier
Theresa E Rose, PA
Theresa E Rose, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 225-0410.
Profile Overview
- NPI
- 1194792689
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- March 02, 2006
- Last Updated
- January 27, 2010
Practice Location
- 2350 Ridgeway Ave
- Suite A
- Rochester, NY 14626-4112
Phone: (585) 225-0410
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1194792689
- Entity Type
- Individual
- Last Name
- Rose
- First Name
- Theresa
- Middle Name
- E
- Credential
- PA
- Mailing Street Address
- 2350 Ridgeway Ave
- Mailing Address Line 2
- Suite A
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4112
- Mailing Country
- US
- Mailing Phone
- (585) 225-0410
- Mailing Fax
- (585) 225-1921
- Practice Street Address
- 2350 Ridgeway Ave
- Practice Address Line 2
- Suite A
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4112
- Practice Country
- US
- Practice Phone
- (585) 225-0410
- Practice Fax
- (585) 225-1921
- Enumeration Date
- March 02, 2006
- Last Updated
- January 27, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 02625845 (NY)