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NPI Code Detail

MEDICARE: YISROEL ROSENFELD

MEDICARE: YISROEL ROSENFELD
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
1363LF0000XFamily Nurse Practitioner357847NY

General Provider Information

NPI Number : 1467325654
Entity Type Code : Individual
Provider Name (Legal Business Name) : YISROEL ROSENFELD
Provider Business Mailing Address
First Line : 3709 FLATLANDS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-3507
Country : US
Telephone Number : 917-975-0026
Fax Number : 463-464-3941
Provider Business Practice Location Address
First Line : 3709 FLATLANDS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-3507
Country : US
Telephone Number : 917-975-0026
Fax Number : 718-285-3631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2025
Last Update Date : 02/04/2026

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