Provider Demographics
NPI:1447388814
Name:PASMANTIER, ROSE MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSE
Middle Name:MARIE
Last Name:PASMANTIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 SHORE RD.
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-3616
Mailing Address - Country:US
Mailing Address - Phone:914-738-5058
Mailing Address - Fax:914-738-8013
Practice Address - Street 1:85 SHORE RD.
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-3616
Practice Address - Country:US
Practice Address - Phone:914-738-5058
Practice Address - Fax:914-738-8013
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY149807-1207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYKS989OtherOXFORD
NY11269554401OtherCIGNA
NY3544A18OtherHEALTHFIRST
NY1265OtherMHS PROVIDER #
NY1265OtherMHS PROVIDER #
NYKS989OtherOXFORD