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Individual

MRS. ILYSE SHARA ROSENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
14205 SE 36TH ST STE 100, BELLEVUE, WA 98006-1553
(425) 657-8819
(651) 379-1740
Mailing address
14205 SE 36TH ST STE 100, BELLEVUE, WA 98006-1553
(425) 519-3617

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
247618
NY

Other

Enumeration date
06/10/2008
Last updated
10/24/2019
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