# GLENN ROSENBERG, D.C., P.C.

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

## Provider details

- **NPI number:** 1922365147
- **Authorized official:** DR. GLENN ROSENBERG D.C. (OWNER)
- **Authorized official phone:** (516) 596-2273

## Contact information

- **Practice address:** 974 ATLANTIC AVE, BALDWIN, NY 11510-4253
- **Practice address phone:** (516) 596-2273
- **Mailing address:** 974 ATLANTIC AVE, BALDWIN, NY 11510-4253
- **Mailing address phone:** (516) 596-2273
- **Mailing address fax:** (516) 596-9606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X008173 | NY | Yes |

## Other

- **Enumeration date:** 04/12/2012
- **Last updated:** 08/02/2013
