Individual
AMY LYNNE ROSENBLUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-7375
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-7975
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
306288-01
NY
208600000X
Surgery Physician
S1250
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2014
Last updated
09/09/2020
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