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NPI Code Detail

MEDICARE: MS. JENNIFER ROSENSTEIN NP-C

MEDICARE:  MS. JENNIFER  ROSENSTEIN  NP-C
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
1363LA2200XAdult Health Nurse PractitionerF305831NY

General Provider Information

NPI Number : 1710379268
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER ROSENSTEIN NP-C
Provider Business Mailing Address
First Line : 110 DARI DR
Second Line :
City : HOLBROOK
State : NY
Zip : 11741-4327
Country : US
Telephone Number : 631-419-6322
Fax Number :
Provider Business Practice Location Address
First Line : 160 MIDDLE RD
Second Line :
City : SAYVILLE
State : NY
Zip : 11782-3126
Country : US
Telephone Number : 631-589-4747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2015
Last Update Date : 02/20/2015

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