Individual
DR. ELENA ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
200 WEST 24TH STREET, MAXIMEYES OPTICAL, NY, NY 10011
(212) 929-3693
(212) 929-1620
Mailing address
187 WOODBURY RD, WOODBURY, NY 11797
(516) 367-1147
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT0056811
NY
Other
Enumeration date
04/12/2006
Last updated
08/05/2008
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