Provider Demographics
NPI:1144421538
Name:MONROE PEDIATRIC ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:MONROE PEDIATRIC ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:KAPLAN
Authorized Official - Last Name:ROSMARIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-783-5723
Mailing Address - Street 1:70 GILBERT ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-1538
Mailing Address - Country:US
Mailing Address - Phone:845-783-5723
Mailing Address - Fax:845-782-2346
Practice Address - Street 1:70 GILBERT ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-1538
Practice Address - Country:US
Practice Address - Phone:845-783-5723
Practice Address - Fax:845-782-2346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty