Individual
HEIDI ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
2840 JERUSALEM AVENUE, WANTAGH, NY 11793
(516) 781-1141
(516) 781-1184
Mailing address
2840 JERUSALEM AVENUE, WANTAGH, NY 11793
(516) 781-1141
(516) 781-1184
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F3035471
NY
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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