Individual
DR. KENNETH ROSENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HEALTH SCIENCES CENTER L4 #060, STONY BROOK, NY 11794-0001
(631) 444-2975
Mailing address
12909 GREEN GUAVA AVE, BOYNTON BEACH, FL 33473-7144
(631) 804-3125
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036.174124
IL
207L00000X
Anesthesiology Physician
161860
FL
207L00000X
Anesthesiology Physician
Primary
195600
NY
207L00000X
Anesthesiology Physician
96329
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01491381
—
NY
01
—
40J53
EMPIRE BC.BS
NY
Enumeration date
06/30/2006
Last updated
05/20/2025
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