Individual
DR. JORDAN L ROSENSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 E 77TH ST, 5TH FLOOR, NEW YORK, NY 10075-1851
(212) 988-8149
(212) 734-2133
Mailing address
130 E 77TH ST, 5TH FLOOR, NEW YORK, NY 10075-1851
(212) 988-8149
(212) 734-2133
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
217363
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02267150
—
NY
Enumeration date
09/24/2006
Last updated
06/29/2010
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