Provider Demographics
NPI:1972736429
Name:VEROW-FREITAG, ROSEMARY A (RPA-C)
Entity type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:A
Last Name:VEROW-FREITAG
Suffix:
Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:556 MONTAUK HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-4407
Mailing Address - Country:US
Mailing Address - Phone:631-321-4811
Mailing Address - Fax:631-321-4814
Practice Address - Street 1:556 MONTAUK HWY.
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-4407
Practice Address - Country:US
Practice Address - Phone:631-321-4811
Practice Address - Fax:631-321-4814
Is Sole Proprietor?:No
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY003242-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant