Individual
SAMUEL JAY ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
26 FIREMENS MEMORIAL DR STE 120, POMONA, NY 10970-3576
(845) 709-8555
Mailing address
PO BOX 751, TALLMAN, NY 10982-0751
(212) 305-3535
(212) 342-1470
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
265958
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2010
Last updated
10/04/2021
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