Individual
MATTHEW ROSENBOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 DAKOTA DR, NEW HYDE PARK, NY 11042-1107
(718) 281-8672
(516) 302-8657
Mailing address
22 FINDLEY DR, EAST NORTHPORT, NY 11731-4607
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
020108-1
NY
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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