Organization
MICHAEL J ROSEN M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J ROSEN MD (SOLE OWNER)
(516) 761-3568
Entity
Organization
Contact information
Practice address
775 PARK AVE, SUITE 155, HUNTINGTON, NY 11743-3976
(516) 761-3568
(845) 340-7314
Mailing address
PO BOX 747, GREENLAWN, NY 11740-0747
(516) 761-3568
(845) 340-7314
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
179918-1
NY
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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