Individual
IRENE ELAINE ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
949 CENTRAL AVE, SUITE 101, WOODMERE, NY 11598-1204
(516) 295-1921
(516) 295-9304
Mailing address
949 CENTRAL AVE, SUITE 101, WOODMERE, NY 11598-1204
(516) 295-1921
(516) 295-9304
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
154948
NY
207NP0225X
Pediatric Dermatology Physician
154948
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IR084D1810
BLUE CROSS
NY
Enumeration date
01/03/2006
Last updated
04/22/2008
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