Israel, Roza

Israel, Roza is an sole proprietor health care provider with primary practice located at 11241 Queens Blvd Suite Llb, Forest Hills NY 11375-7475. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Israel, Roza can be contacted via phone (718) 520-7723.

Contact Information

Primary practice address
11241 Queens Blvd Suite Llb Forest Hills NY 11375-7475
Fax: (718) 520-7733
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 214292 New York

Profile Details

NPI number 1528068368
LBN Legal business name Israel, Roza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2005
Last updated Dec 19th, 2013 - about 11 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 1528068368 NPPES
New York MEDICAID 01999980

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