Individual
MR. IRA P ROSENBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 SHERMAN AVE, NEW YORK, NY 10040-1602
(212) 942-1469
(212) 567-2019
Mailing address
2601 HENRY HUDSON PKWY, BRONX, NY 10463-7729
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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