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NPI Code Detail

MEDICARE: DR. BARRY JAY ROSEN DPM

MEDICARE:  DR. BARRY JAY ROSEN  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristN003625NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871596262
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARRY JAY ROSEN DPM
Provider Business Mailing Address
First Line : 5847 FRANCIS LEWIS BLVD
Second Line : STE 11
City : OAKLAND GARDENS
State : NY
Zip : 11364-1698
Country : US
Telephone Number : 718-225-2424
Fax Number : 718-225-2425
Provider Business Practice Location Address
First Line : 5847 FRANCIS LEWIS BLVD
Second Line : STE 11
City : OAKLAND GARDENS
State : NY
Zip : 11364-1601
Country : US
Telephone Number : 718-225-2424
Fax Number : 718-225-2425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 04/15/2016

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Directions to “ DR. BARRY JAY ROSEN DPM” Practice Location

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