Individual
JOEL M ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6633
(516) 572-6787
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6633
(516) 572-6787
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
135391
NY
2085N0904X
Nuclear Radiology Physician
135391-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
135391-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00598265
—
NY
Enumeration date
04/05/2006
Last updated
04/14/2008
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