Individual
DR. YELENA ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 OLD COUNTRY RD, SUITE 111, MINEOLA, NY 11501-4198
(516) 745-0500
(516) 745-1534
Mailing address
300 OLD COUNTRY RD, SUITE 111, MINEOLA, NY 11501-4198
(516) 745-0500
(516) 745-1534
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
230485
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02683136
—
NY
Enumeration date
07/08/2005
Last updated
12/19/2012
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