Organization
DRG MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMA ROZEN MD (MD)
(718) 236-1056
Entity
Organization
Contact information
Practice address
1454 HYLAN BLVD, STATEN ISLAND, NY 10305-1923
(718) 236-1056
Mailing address
333 E 69TH ST, SUITE TH8, BROOKLYN, NY 11234
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
001453
—
Other
Enumeration date
12/26/2007
Last updated
01/02/2008
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