Individual
DR. DWIGHT J ROSENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1991 MARCUS AVENUE, SUITE 110, LAKE SUCCESS, NY 11042-2057
(516) 466-4700
(516) 466-4810
Mailing address
1991 MARCUS AVENUE, SUITE 110, LAKE SUCCESS, NY 11042-2057
(516) 466-4700
(516) 466-4810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
142989
NY
2084N0400X
Neurology Physician
Primary
142989
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0306775002
CIGNA HEALTHCARE
NY
01
—
1057742
EMPIRE PLAN/UNITED HEALTH
NY
01
—
112434927
TPA/BENESIGHT
NY
01
—
1400148
AETNA MC/PPO/EPO
NY
01
—
887955
AETNA HMO
NY
01
—
98A341
EMPIRE HEALTHCHOICE
NY
01
—
AS1291
OXFORD HEALTH PLAN
NY
01
—
OC2813
PHS/ACS
NY
Enumeration date
12/27/2005
Last updated
03/04/2009
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