Individual
JAKE DYLAN ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1171 OLD COUNTRY RD STE 5, PLAINVIEW, NY 11803-5022
(516) 938-7676
Mailing address
1171 OLD COUNTRY RD STE 5, PLAINVIEW, NY 11803-5022
(516) 938-7676
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
308789
NY
Other
Enumeration date
04/05/2018
Last updated
09/06/2023
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