Individual
ALEXANDR ROSHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
299 GUYON AVE, STATEN ISLAND, NY 10306
(718) 987-5840
(718) 987-7706
Mailing address
299 GUYON AVE, STATEN ISLAND, NY 10306
(718) 987-5840
(718) 987-7706
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200049
NY
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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