Individual
EVELYN ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 6 STREET, BROOKLYN, NY 11215
(718) 780-3139
(718) 780-3774
Mailing address
PO BOX 7490, SHREWSBURY, NJ 07702
(718) 780-3139
(718) 780-3774
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
176136
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01362514
—
NY
Enumeration date
03/24/2006
Last updated
10/12/2007
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