Individual
HALEY JORDAN ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
662 WEST 168TH STREET, 17TH FLOOR, ROOM 304, NEW YORK, NY 10032
(212) 342-1074
Mailing address
150 E 18TH ST APT 2S, NEW YORK, NY 10003-2445
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
383474
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
383474
NY
Other
Enumeration date
02/01/2023
Last updated
02/14/2023
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