Rosen, Jeffrey

Rosen, Jeffrey is an individual health care provider with primary practice located at 5645 Main St 4Th Floor South, Flushing NY 11355-5045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Rosen, Jeffrey can be contacted via phone (718) 670-1422.

Contact Information

Primary practice address
5645 Main St 4Th Floor South Flushing NY 11355-5045
Phone: (718) 670-1422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 198804 New York

Profile Details

NPI number 1245226414
LBN Legal business name Rosen, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Jun 2nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245226414 NPPES
New York Other G400000332 MEDICARE PTAN
New York Other A400011399 MEDICARE PTAN
New York MEDICAID 01953539 MEDICARE PTAN
New York Other 00669 MEDICARE PTAN

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