Individual
MARK ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 MARGARET COURT, BROOKLYN, NY 11235-4361
(718) 934-9300
(342) 394-5566
Mailing address
1 MARGARET COURT, BROOKLYN, NY 11235-4361
(718) 934-9300
(342) 394-5566
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
040005
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00947080
—
NY
Enumeration date
01/29/2007
Last updated
07/08/2007
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