Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 195321 | NY |
NPI | 1033114202 |
---|---|
Provider Name | Marion B Rose |
First Address | Babylon, NY 11702 |
Second Address | Babylon, NY 11702-3027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 30/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02372058 | (05) | NY |
040426011188 | FIDELIS (01) | NY |
129244 | VYTRA HEALTHCARE (01) | NY |
2136266 | UNITED HEALTHCARE (01) | NY |
2198784 | GHI (01) | NY |
25-01913 | UNITEDHEALTHCARE CHILD HE (01) | NY |
3021002-003 | CIGNA (01) | NY |
5E6181 | BLUE CROSS BLUE SHIELD (01) | NY |
AA71772 | MDNY HEALTHCARE (01) | NY |
G63023 | (02) | NY |
P2734825 | OXFORD HEALTH (01) | NY |