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Individual

ALBERTO ROZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9033 ELMHURST AVE, JACKSON HEIGHTS, NY 11372-7935
(718) 457-7000
(718) 899-4955
Mailing address
9033 ELMHURST AVE, JACKSON HEIGHTS, NY 11372-7935
(718) 457-7000
(718) 899-4955

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
187566
NY
207RP1001X
Pulmonary Disease Physician
187566
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01580836
NY
01
187566
LICENSE NUMBER
NY
Enumeration date
03/29/2006
Last updated
09/16/2011
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