Jon Mitchel Rose is a Clinical in Pine Bush, New York. Jon Mitchel Rose practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jon Mitchel Rose is 1669655494. The last update date is 2007-12-16.
Jon Mitchel Rose's current location address is 89 Boniface Dr, Pine Bush, New York. You can contact this provider via phone number 8457446974 and fax number 8457446406. The mailing address for Jon Mitchel Rose is 89 Boniface Dr, Pine Bush, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jon Mitchel Rose |
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Address | 89 Boniface Dr, Pine Bush, New York |
Phone Number | 8457446974 |
Fax Number | 8457446406 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1669655494 |
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Provider Enumeration Date | 2007-12-16 |
Last Updated Date | 2007-12-16 |
Provider Mailing Address Detail
Address | 89 Boniface Dr |
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City | Pine Bush |
State | New York (NY) |
Post Code | 125667011 |
Phone Number | 8457446974 |
Fax Number | 8457446406 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | RO44407-1 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code assigned to Jon Mitchel Rose by the Centers for Medicare & Medicaid Services?
The Jon Mitchel Rose has been issued the NPI (National Provider Identifier) 1669655494 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jon Mitchel Rose's facilities are situated?
The facilities of Jon Mitchel Rose are physically located at the following address: 89 Boniface Dr, Pine Bush, NY, 125667011.
What is the area of specialization for Jon Mitchel Rose, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jon Mitchel Rose is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When was the Jon Mitchel Rose's 1669655494 issued?
The Jon Mitchel Rose's 1669655494 was issued on 2007-12-16.
When was the information related to Jon Mitchel Rose most recently updated or refreshed?
The details pertaining to the Jon Mitchel Rose, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-12-16.
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