Individual
DR. GARY CHARLES ROSENBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
120 MINEOLA BLVD, SUITE 410, MINEOLA, NY 11501-4073
(516) 663-4751
(516) 663-2946
Mailing address
120 MINEOLA BLVD, SUITE 410, MINEOLA, NY 11501-4073
(516) 663-4751
(516) 663-2946
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
NYS176247
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01556270
—
NY
Enumeration date
11/10/2005
Last updated
03/23/2021
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