Individual
DR. PHILLIP ELLIOT ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1520 50TH ST, BROOKLYN, NY 11219
(718) 871-6663
(718) 431-2452
Mailing address
1520 50TH ST, BROOKLYN, NY 11219-3745
(718) 871-6663
(718) 431-2452
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
033233
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00301428
—
NY
Enumeration date
05/07/2007
Last updated
07/15/2013
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