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Individual

DR. GLENN ROSENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
974 ATLANTIC AVE, BALDWIN, NY 11510-4253
(516) 596-2273
(516) 596-9606
Mailing address
1 DAVISON AVE W, OCEANSIDE, NY 11572-2114
(516) 596-2273
(516) 596-9606

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00626600
NJ
111N00000X
Chiropractor
Primary
XOO8173
NY

Other

Enumeration date
10/05/2006
Last updated
05/17/2021
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