Individual
DR. MICHAEL ROSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8 SPENCER PL, SCARSDALE, NY 10583-4111
(914) 472-2020
Mailing address
8 SPENCER PL, SCARSDALE, NY 10583-4111
(914) 472-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005961-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C268G1
BLUE CROSS
NY
01
—
P1014139
OXFORD
NY
Enumeration date
01/19/2006
Last updated
07/08/2007
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