Individual
STACEY ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LIJMC DEPT OF MEDICINE CARDIOLOGY, 270 05 76 AVENUE, NEW HYDE PARK, NY 11042
(718) 470-7331
Mailing address
LIJMC DEPT OF MEDICINE CARDIOLOGY, LIJMC DEPT OF MEDICINE CARDIOLOGY, NEW HYDE PARK, NY 11042
(718) 470-7331
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
167457
NY
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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