# D JACOB ROSENBAUM MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679013577
- **Authorized official:** DIONYS J ROSENBAUM M.D. (PRESIDENT)
- **Authorized official phone:** (718) 436-8988

## Contact information

- **Practice address:** 1310 48TH ST, SUITE 207, BROOKLYN, NY 11219-3153
- **Practice address phone:** (718) 436-8988
- **Practice address fax:** (718) 435-8861
- **Mailing address:** 1310 48TH ST, SUITE 207, BROOKLYN, NY 11219-3153
- **Mailing address phone:** (718) 436-8988
- **Mailing address fax:** (718) 435-8861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 133543-1 | NY | Yes |

## Other

- **Enumeration date:** 02/27/2017
- **Last updated:** 02/28/2017