Provider Demographics
NPI:1255775128
Name:ROSATI, MARY BETH FRANCES
Entity type:Individual
Prefix:MRS
First Name:MARY BETH
Middle Name:FRANCES
Last Name:ROSATI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 N PRINCE DR
Mailing Address - Street 2:
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-4750
Mailing Address - Country:US
Mailing Address - Phone:716-541-4328
Mailing Address - Fax:
Practice Address - Street 1:56 N PRINCE DR
Practice Address - Street 2:
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-4750
Practice Address - Country:US
Practice Address - Phone:716-541-4328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator