Individual
ELI ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
358 KINGSTON AVE, BROOKLYN, NY 11213-4332
(718) 778-7272
(718) 773-4583
Mailing address
358 KINGSTON AVE, BROOKLYN, NY 11213-4332
(718) 778-7272
(718) 773-4583
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
152998
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00758338
—
NY
Enumeration date
11/10/2005
Last updated
11/24/2008
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