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Individual

ELIANA ROSENFELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
40 ROBERT PITT DR, MONSEY, NY 10952-3333
(845) 352-6800
Mailing address
1264 E 35TH ST, BROOKLYN, NY 11210-4822
(917) 613-7753

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
025102
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025102-01
NY STATE LICENSE
NY
Enumeration date
03/03/2020
Last updated
07/27/2022
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