National Provider Identifier

Michelle Rose

Michelle Rose is listed in the NPPES registry with a primary specialty of Specialist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1760932362Victor, NYSpecialist

Profile Overview

NPI
1760932362
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
October 06, 2016
Last Updated
October 06, 2016

Practice Location

  • 590 Fishers Station Dr
  • Suite 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Mailing Address

  • 116 Alliger Dr
  • Tonawanda, NY 14150-5152

Specialties

  • Specialist (174400000X)
Full Record
NPI
1760932362
Entity Type
Individual
Last Name
Rose
First Name
Michelle
Mailing Street Address
116 Alliger Dr
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-5152
Mailing Country
US
Practice Street Address
590 Fishers Station Dr
Practice Address Line 2
Suite 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Enumeration Date
October 06, 2016
Last Updated
October 06, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)