Individual ProviderDavid RoseMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5496 E Taft Rd, North Syracuse, NY 13212-3784(315) 552-6700PECOS EnrollmentBased on the most recent information from CMS, provider David Rose does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1760895528Provider TypeIndividualFull NameRose, DavidGenderMaleSole ProprietorYesEnumeration Date6/9/2014Last Updated2/13/2019Contact InformationPractice LocationPractice Address5496 E Taft Rd, North Syracuse, NY 13212-3784Phone(315) 552-6700FaxUnlisted FaxMailing LocationMailing Address5496 E Taft Rd, North Syracuse, NY 13212-3784Phone(315) 552-6700FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense015422New York