Active NPIIndividual provider

Eleanor J Rose, PA

Physician Assistant in Ithaca, New York

NPI Number1710702543
Practice location
953 Danby RD, Ithaca, NY 14850-7002
Fax
—
Last updated
November 18, 2024

Eleanor Jane Rose is a Physician Assistant based in Ithaca, NY. Eleanor Jane Rose practices in Ithaca, NY and has the professional credentials of PA. The NPI Number for Eleanor Jane Rose is 1710702543. The current practice location address for Eleanor Jane Rose is 953 Danby RD, Ithaca, NY 14850-7002 and can be reached out via phone at 607-274-3011.

Provider Profile Details

NPI Number
1710702543
Provider Name
Eleanor Jane Rose
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
953 Danby RD, Ithaca, NY 14850-7002
Phone Number
607-274-3011
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
November 18, 2024
Last Update Date
November 18, 2024
Certification Date
November 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
953 Danby RD
Ithaca, NY 14850-7002
City
Ithaca
Zip
14850-7002
Phone Number
607-274-3011
Ithaca, NY 14850Get directions →

Provider Business Mailing Address Details

Address
298 Harmony RD
Northwood, NH 03261-3926
City
Northwood
State
NH
Zip
03261-3926
Phone Number
603-244-9788

License Information

Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eleanor J Rose, PA?

The NPI number of Eleanor J Rose, PA is 1710702543. It was assigned on November 18, 2024 and is currently active in the NPPES registry.

What is the specialty of Eleanor J Rose, PA?

Eleanor J Rose, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Eleanor J Rose, PA practice?

The practice location is 953 Danby RD, Ithaca, NY 14850-7002. The office can be reached at 607-274-3011 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710702543 directly on the NPPES registry website.

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