Rose, Rita M

Rose, Rita M is an sole proprietor health care provider with primary practice located at 10 Benton Avenue , Middletown NY 10940. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Rose, Rita M can be contacted via phone (845) 343-8838.

Contact Information

Primary practice address
10 Benton Avenue Middletown NY 10940
Phone: (845) 343-8838
Fax: (845) 343-7017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 002009 New York
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 002009 New York

Profile Details

NPI number 1356519698
LBN Legal business name Rose, Rita M
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2008
Last updated Feb 20th, 2008 - about 18 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 1356519698 NPPES
New York MEDICAID 00355931
New York Other 002009

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