Individual
DR. GARY S ROSENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
173542
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01192429
—
NY
Enumeration date
08/31/2006
Last updated
07/08/2007
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