Most Relevant Information
Provider Data
| NPI Number: | 1003478009 |
| Provider Name: | MICHELE ROSS OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 008965 |
Most Important Dates
| Enumeration Date: | 07/01/2019 |
| Last Updated: | 10/28/2024 |
Provider Practice Location
2504 FLATBUSH AVE
BROOKLYN
NY
112345128
Practice Location Phone/Fax
| Phone: | 7182582020 |
| Fax: | 7182534731 |
Provider Mailing Location
45 OCEANA DR E APT 2D
BROOKLYN
NY
112356677
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |