Individual
JACOB ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1650 SELWYN AVE APT 1C, BRONX, NY 10457-7628
(718) 590-1800
Mailing address
4004 34TH AVE APT 409, LONG ISLAND CITY, NY 11101-8542
(518) 727-8125
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009828
NY
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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