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Individual

EDWIN H ROSENWASSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1325 FRANKLIN AVE, SUITE 103, GARDEN CITY, NY 11530
(516) 536-1818
(516) 536-4101
Mailing address
1325 FRANKLIN AVE, SUITE 103, GARDEN CITY, NY 11530
(516) 536-1818
(516) 536-4101

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
133452
NY
2086S0129X
Vascular Surgery Physician
133452
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00728318
NY
Enumeration date
02/12/2007
Last updated
07/15/2009
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