Jessica Elizabeth Rough, | |
30 Ramland Rd S Ste 200a, Orangeburg, NY 10962-2626 | |
(845) 359-0010 | |
(845) 359-3414 |
Full Name | Jessica Elizabeth Rough |
---|---|
Gender | Female |
Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
Location | 30 Ramland Rd S Ste 200a, Orangeburg, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1467114306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | F347757 (New York) | Primary |
Entity Name | Boston Children's Health Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
Mailing Address | Practice Location Address |
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Jessica Elizabeth Rough, 30 Ramland Rd S Ste 200a, Orangeburg, NY 10962-2626 Ph: (845) 359-0010 | Jessica Elizabeth Rough, 30 Ramland Rd S Ste 200a, Orangeburg, NY 10962-2626 Ph: (845) 359-0010 |
Cynthia Ceresney Cohen, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 30 Ramland Road, Suite 200a, Orangeburg, NY 10962 Phone: 845-359-0010 Fax: 845-359-3414 | |
Kimberly D Kinney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Ramland Rd S Ste 200a, Orangeburg, NY 10962 Phone: 845-359-0010 Fax: 845-359-3414 | |
Philip Newfield, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30 Ramland Rd, Suite 200a, Orangeburg, NY 10962 Phone: 845-359-0010 Fax: 845-359-3414 |