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Individual

DR. MICHAEL EDWARD ROSENBAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
496 SMITHTOWN BYP, SUITE 101, SMITHTOWN, NY 11787-5005
(631) 979-8880
(631) 979-8064
Mailing address
496 SMITHTOWN BYP, SUITE 101, SMITHTOWN, NY 11787-5005
(631) 979-8880
(631) 979-8064

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
182597
NY
207RI0011X
Interventional Cardiology Physician
Primary
182597
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01824446
NY
Enumeration date
07/28/2006
Last updated
01/15/2015
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