Provider Demographics
NPI:1689850703
Name:ROSSI, CARMEN JAMES (RPH)
Entity Type:Individual
Prefix:MR
First Name:CARMEN
Middle Name:JAMES
Last Name:ROSSI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 WINSTON DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-3334
Mailing Address - Country:US
Mailing Address - Phone:585-225-1160
Mailing Address - Fax:
Practice Address - Street 1:23 SLAYTON AVE
Practice Address - Street 2:
Practice Address - City:SPENCERPORT
Practice Address - State:NY
Practice Address - Zip Code:14559-1427
Practice Address - Country:US
Practice Address - Phone:585-352-4020
Practice Address - Fax:585-352-4385
Is Sole Proprietor?:No
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY24054183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist