Individual
MS. ILONA ROZENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAN ASSISTANT
Contact information
Practice address
374 STOCKHOLM ST, C/O FACULTY PRACTIE, BROOKLYN, NY 11237-4006
(718) 963-6551
(718) 963-6793
Mailing address
1723 E 12TH ST STE 4, BROOKLYN, NY 11229-1070
(917) 238-2195
(718) 963-6793
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02617334
—
NY
Enumeration date
05/03/2006
Last updated
01/26/2021
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