Provider Demographics
NPI:1962716738
Name:GERMAN, ROSE (RPA-C)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:GERMAN
Suffix:
Gender:F
Credentials:RPA-C
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2797 OCEAN PKWY
Mailing Address - Street 2:1 FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7868
Mailing Address - Country:US
Mailing Address - Phone:718-615-4000
Mailing Address - Fax:718-615-4004
Practice Address - Street 1:2797 OCEAN PKWY
Practice Address - Street 2:1 FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7868
Practice Address - Country:US
Practice Address - Phone:718-615-4000
Practice Address - Fax:718-615-4004
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY009257363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant