Individual
DR. JARED MATTHEW ROSENSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Contact information
Practice address
225 BROADWAY, NEW YORK, NY 10007-3001
(212) 732-7400
Mailing address
1438 3RD AVE APT 9A, NEW YORK, NY 10028-1963
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
060116
NY
Other
Enumeration date
07/16/2014
Last updated
09/24/2018
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