Provider Demographics
NPI:1184792673
Name:ROSES, DANIEL FRANKLIN (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:FRANKLIN
Last Name:ROSES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 FIRST AVENUE
Mailing Address - Street 2:SUITE 6E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-263-7330
Mailing Address - Fax:212-263-7581
Practice Address - Street 1:530 FIRST AVENUE
Practice Address - Street 2:SUITE 6E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-263-7330
Practice Address - Fax:212-263-7581
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106908208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC07950Medicare UPIN
NY293781Medicare ID - Type Unspecified