Provider Demographics
NPI:1528612793
Name:ROSANO, THOMAS GERARD
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:GERARD
Last Name:ROSANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 NEW SCOTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3423
Mailing Address - Country:US
Mailing Address - Phone:518-605-9041
Mailing Address - Fax:518-293-0208
Practice Address - Street 1:150 NEW SCOTLAND AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3423
Practice Address - Country:US
Practice Address - Phone:518-605-9041
Practice Address - Fax:518-293-0208
Is Sole Proprietor?:No
Enumeration Date:2019-07-26
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician