SearchNew York164W00000X

Trace Rose

NPI 1043941354 · on the registry since 2022 · sole proprietor

Practice

Address
34 Downs Rd
Hempstead, NY 11550
Phone
(404) 732-3265

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York