Provider Demographics
NPI:1851413769
Name:FOX, ROSANNE M (MD)
Entity Type:Individual
Prefix:
First Name:ROSANNE
Middle Name:M
Last Name:FOX
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:185 GREEN STREET, SUITE 2
Mailing Address - Street 2:HUDSON VALLEY PSYCHIATRIC ASSOCIATES
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-4248
Mailing Address - Country:US
Mailing Address - Phone:845-339-3736
Mailing Address - Fax:267-597-3622
Practice Address - Street 1:105 MARY'S AVENUE
Practice Address - Street 2:HEALTH ALLIANCE MARY'S AVENUE CAMPUS/BENEDICTINE HOSPIT
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401
Practice Address - Country:US
Practice Address - Phone:845-338-2500
Practice Address - Fax:267-597-3622
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2014-05-14
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Provider Licenses
StateLicense IDTaxonomies
PAMD066863L2084P0800X
NY269635-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101530256Medicaid
PA117012OtherCBH
PA110110HFHMedicare PIN