Individual
MRS. CHRISTINA M ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 HUNTER RIDGE RD N, MASSAPEQUA, NY 11758-2706
(516) 503-2022
Mailing address
129 HUNTER RIDGE RD N, MASSAPEQUA, NY 11758-2706
(516) 503-2022
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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