NPI 1770711301

Kenneth M. Rose, M.D., PLLC

Organisation PACE Provider Organization New York, NY

Practice location

Address: 75 Central Park W, New York, NY 10023-6011
Phone: (212) 888-7773
Fax: (212) 421-7030

Authorised official

Name: Juanita Butler
Title: Office Manager
Phone: (212) 888-7773

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence 188699-1 (NY)

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in New York →

Registry record

NPI: 1770711301
Entity type: Organization
NPI issued: 22 Jun 2009
Record last updated: 22 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.