Organization
N.Y. ROSEDALE MEDICAL P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN R DUPOUX MD (PRESIDENT)
(718) 963-0073
Entity
Organization
Contact information
Practice address
121 GRAHAM AVE, BROOKLYN, NY 11206-2609
(718) 963-0073
(718) 963-0277
Mailing address
121 GRAHAM AVE, BROOKLYN, NY 11206-2609
(718) 963-0073
(718) 963-0277
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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