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Individual

ELENA ROSENBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1714 ROUTE 9 STE A, HALFMOON, NY 12065-3111
(518) 900-1115
Mailing address
875 N HIGH ST STE 200, COLUMBUS, OH 43215-1429
(518) 900-1115

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
248307
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03023627
NY
Enumeration date
04/06/2007
Last updated
05/03/2022
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