Organization
67TH STREET OB GYN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ROSHAN MD (PROVIDER)
(212) 725-0123
Entity
Organization
Contact information
Practice address
903 LEXINGTON AVE, SUITE 1A, NEW YORK, NY 10065
(212) 249-3949
(212) 249-3916
Mailing address
770 MIDDLE NECK RD, SUITE 8P, GREAT NECK, NY 11024-1956
(718) 253-8111
(718) 253-2333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
192649
NY
Other
Enumeration date
09/08/2016
Last updated
09/30/2021
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