Individual
DR. IRA ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
158 QUAKER PATH, SETAUKET, NY 11733
(631) 871-8479
(631) 871-8479
Mailing address
158 QUAKER PATH, SETAUKET, NY 11733
(631) 871-8479
(631) 871-8479
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006100
NY
Other
Enumeration date
04/05/2006
Last updated
10/22/2010
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