Provider Demographics
NPI:1700816840
Name:TSE, ROSE W (MD)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:W
Last Name:TSE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:875 OLD COUNTRY RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-4942
Mailing Address - Country:US
Mailing Address - Phone:516-935-8877
Mailing Address - Fax:516-935-8826
Practice Address - Street 1:875 OLD COUNTRY RD
Practice Address - Street 2:SUITE 102
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-4942
Practice Address - Country:US
Practice Address - Phone:516-935-8877
Practice Address - Fax:516-935-8826
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2021-03-31
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Provider Licenses
StateLicense IDTaxonomies
NY171533207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY110200419OtherMC RR
NY110200419OtherMC RR
NYA62450Medicare UPIN