Provider Demographics
NPI:1891738811
Name:GHERSIN, ROSE B (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSE
Middle Name:B
Last Name:GHERSIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8 DALY CROSS RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3606
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:293 ROUTE 100
Practice Address - Street 2:SUITE 104
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589
Practice Address - Country:US
Practice Address - Phone:914-277-3360
Practice Address - Fax:914-277-1813
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1747052080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine