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Organization

SV OPERATING THREE LLC

Active
Other names
Richmond Physician Group
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH ROZENBERG (MEMBER)
(718) 931-9700
Entity
Organization

Contact information

Practice address
91 TOMPKINS AVE, STATEN ISLAND, NY 10304-2601
(718) 931-9700
Mailing address
4770 WHITE PLAINS RD, BRONX, NY 10470-1104
(718) 931-9700

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
04/30/2012
Last updated
12/31/2019
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