Provider Demographics
NPI:1174502652
Name:ROSE, STEVEN J (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:ROSE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:160 SAWGRASS DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4648
Mailing Address - Country:US
Mailing Address - Phone:585-442-3411
Mailing Address - Fax:585-442-9550
Practice Address - Street 1:160 SAWGRASS DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4648
Practice Address - Country:US
Practice Address - Phone:585-442-3411
Practice Address - Fax:585-442-9550
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2017-07-11
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Provider Licenses
StateLicense IDTaxonomies
NY166668207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01203245Medicaid
NY01203245Medicaid
NYE03209Medicare UPIN