Individual
JONATHAN ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 E 38TH ST, NEW YORK, NY 10016-2708
(212) 263-3095
Mailing address
240 E 38TH ST, NEW YORK, NY 10016-2708
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
210363
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02159162
—
NY
Enumeration date
08/31/2005
Last updated
03/30/2021
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