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General NPI Number Information
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NPI Number | 1619248150
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Entity Type | Organization
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Legal Business Name | DANIEL J. ROSEN M.D., P.C.
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Dates
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Enumeration Date | 01/13/2012
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 200 E 78TH ST STE 1A
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City | NEW YORK
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State | NY
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Zip | 10075-2010
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Country | US
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Telephone | 646-262-3006
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Fax | 212-537-0345
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Provider Business Mailing Address
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Address Line | 200 E 78TH ST
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City | NEW YORK
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State | NY
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Zip | 10075-2004
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Country | US
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Telephone | 212-288-6380
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Fax | 212-537-0345
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL JOSEPH ROSEN
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Credential | M.D.
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Telephone | 646-262-3006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 233866
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License Number State | NY
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