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Individual

MARK ROSENZWEIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-4751
Mailing address
601 ELMWOOD AVE, BOX 679B, ROCHESTER, NY 14642-0001
(585) 275-2475
(585) 473-0477

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
128741
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026569501
UNIVERA
NY
01
000914879002
BC/BS OF WESTERN NY
NY
05
00711748
NY
01
5863654
AETNA
NY
01
MDH645
PREFERRED CARE
NY
01
P010128741
BLUE CHOICE
NY
Enumeration date
06/13/2006
Last updated
08/29/2011
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