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Individual

BRIAN J ROSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
292 BROADWAY, LYNBROOK, NY 11563-3287
(516) 887-0008
(516) 887-0840
Mailing address
292 BROADWAY, LYNBROOK, NY 11563-3287
(516) 887-0008
(516) 887-0840

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
037842
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00853338
NY
Enumeration date
08/21/2006
Last updated
07/08/2007
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