Individual
DOUGLAS ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
15 NELSON ST, FARMINGDALE, NY 11735-4225
(516) 398-8658
Mailing address
15 NELSON ST, FARMINGDALE, NY 11735-4225
(516) 398-8658
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033747
NY
Other
Enumeration date
11/23/2024
Last updated
11/23/2024
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