Organization
GARY S ROSENBAUM MD PC
Active
Organization
GARY S ROSENBAUM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHARYN DONNELLY (OFFICE ADMINISTRATOR)
(631) 727-6122
Entity
Organization
Contact information
Practice address
887 OLD COUNTRY RD, SUITE A, RIVERHEAD, NY 11901-2115
(631) 727-6122
(631) 727-2672
Mailing address
887 OLD COUNTRY RD, SUITE A, RIVERHEAD, NY 11901-2115
(631) 727-6122
(631) 727-2672
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
1735421
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011924229
—
NY
Enumeration date
09/28/2010
Last updated
09/28/2010
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