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1588913594
MICHELLE T ROSA
STONY BROOK, NY
NPI
1588913594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 015933-1)
Enumeration Date
2012-09-05
Last Update Date
2020-05-06
Business Address
Mrs. MICHELLE T ROSA PA
NEW YORK SPINE AND BRAIN SURGERY HSC T12 RM 080
STONY BROOK, NY 11794-8122
Phone number: 631-444-1116
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Mailing Address
Mrs. MICHELLE T ROSA PA
18 DALE LN
HAUPPAUGE, NY 11788-4330
Phone number: 631-487-7084
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