# LISA ROSENBERG MD PC

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

## Provider details

- **NPI number:** 1750661104
- **Authorized official:** LISA ROSENBERG MD (MD/OWNER)
- **Authorized official phone:** (718) 454-3200

## Contact information

- **Practice address:** 61-34 188TH ST, SUITE 214, FRESH MEADOWS, NY 11365-2726
- **Practice address phone:** (718) 454-3200
- **Practice address fax:** (718) 454-4191
- **Mailing address:** 61-34 188TH ST, SUITE 214, FRESH MEADOWS, NY 11365-2726
- **Mailing address phone:** (718) 454-3200
- **Mailing address fax:** (718) 454-4191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 151716 | NY | Yes |

## Other

- **Enumeration date:** 08/17/2011
- **Last updated:** 08/17/2011