Provider Demographics
NPI:1871552521
Name:HAROLD S. ROSS, M.D., P.C.
Entity type:Organization
Organization Name:HAROLD S. ROSS, M.D., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-789-4922
Mailing Address - Street 1:738 PRE EMPTION RD
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456-1336
Mailing Address - Country:US
Mailing Address - Phone:315-789-8897
Mailing Address - Fax:315-781-6342
Practice Address - Street 1:738 PRE EMPTION RD
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-1336
Practice Address - Country:US
Practice Address - Phone:315-789-8897
Practice Address - Fax:315-781-6342
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAROLD S. ROSS, M.D., P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-21
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
017811937OtherBCBS
017811937OtherEXCELLUS
9748670OtherGROUP HEALTH INC
103065CTOtherPREFERRED CARE
017811937OtherEXCELLUS