Provider Demographics
NPI:1063581296
Name:ROSNEY, GERARD CHRISTOPHER (GERARD ROSNEY, DC)
Entity type:Individual
Prefix:DR
First Name:GERARD
Middle Name:CHRISTOPHER
Last Name:ROSNEY
Suffix:
Gender:M
Credentials:GERARD ROSNEY, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 FAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:MANLIUS
Mailing Address - State:NY
Mailing Address - Zip Code:13104-1804
Mailing Address - Country:US
Mailing Address - Phone:315-682-0018
Mailing Address - Fax:315-682-0219
Practice Address - Street 1:208 FAYETTE ST
Practice Address - Street 2:
Practice Address - City:MANLIUS
Practice Address - State:NY
Practice Address - Zip Code:13104-1804
Practice Address - Country:US
Practice Address - Phone:315-682-0018
Practice Address - Fax:315-682-0219
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011113-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYIA0831Medicare UPIN