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Individual

ALLAN ROSENBLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, MA ADVAN CERT

Contact information

Practice address
577 GRAND ST, B, NEW YORK, NY 10002-4383
(212) 254-7300
Mailing address
455 FDR DR, B 1305, NEW YORK, NY 10002-5953

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
406129
NY

Other

Enumeration date
02/01/2011
Last updated
02/01/2011
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