Rose, Kenneth M

Rose, Kenneth M is an individual health care provider with primary practice located at 75 Central Park W , New York NY 10023-6011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Rose, Kenneth M can be contacted via phone (212) 888-7773.

Contact Information

Primary practice address
75 Central Park W New York NY 10023-6011
Phone: (212) 888-7773
Fax: (212) 421-7930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 188699 New York
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 188699 New York

Profile Details

NPI number 1710033584
LBN Legal business name Rose, Kenneth M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jun 22nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710033584 NPPES
New York Other 6015129 GHI
New York MEDICAID 01776865 GHI
New York Other N28073 GHI

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