Individual provider · Type 1 NPI

Erica M. Rose, PA

Surgical Physician Assistant · New Hyde Park, NY

NPI number 1154413151 Active

Practice location

27005 76th Ave
New Hyde Park, NY 11040-1433

Fax (718) 343-3429

Mailing address

175 Community Dr
Great Neck, NY 11021-5502

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X011111 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1154413151

Erica M. Rose, PA's National Provider Identifier is 1154413151, issued on Sep 28, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Hyde Park, NY. The record was last updated on Dec 15, 2022.