Organization
AVENUE D PROFESSIONAL GROUP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE S. ROSEN DDS (OWNER / PRESIDENT)
(718) 451-1888
Entity
Organization
Contact information
Practice address
4401 AVENUE D, BROOKLYN, NY 11203-5725
(718) 451-1888
(718) 451-1920
Mailing address
4401 AVENUE D, BROOKLYN, NY 11203-5725
(718) 451-1888
(718) 451-1920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
035221
NY
Other
Enumeration date
02/02/2007
Last updated
08/04/2008
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