Individual
JACQUELINE ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
123 EVERETT RD, ALBANY, NY 12205-1407
(518) 701-2000
(518) 701-2139
Mailing address
123 EVERETT RD, ALBANY, NY 12205-1407
(518) 701-2000
(518) 701-2139
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
021349
NY
Other
Enumeration date
09/21/2017
Last updated
02/08/2020
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