Individual
DR. JEREMY S. ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 W 79TH ST APT 5C, NEW YORK, NY 10024-6213
(908) 672-3915
Mailing address
200 W 79TH ST APT 5C, NEW YORK, NY 10024-6213
(908) 672-3915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043632-1
NY
122300000X
Dentist
DDS-10078
IA
Other
Enumeration date
02/28/2011
Last updated
01/19/2024
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