Organization
LAKE SUCCESS HEALTH MEDICAL WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY ROSEN CFO (CFO)
(914) 860-5578
Entity
Organization
Contact information
Practice address
2001 MARCUS AVE STE W95, NEW HYDE PARK, NY 11042-2052
(917) 524-7246
Mailing address
295 MADISON AVE RM 407, NEW YORK, NY 10017-6438
(914) 960-5578
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/20/2023
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