Rosen, Brian J

Rosen, Brian J is an individual health care provider with primary practice located at 292 Broadway , Lynbrook NY 11563-3287. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rosen, Brian J can be contacted via phone (516) 887-0008.

Contact Information

Primary practice address
292 Broadway Lynbrook NY 11563-3287
Fax: (516) 887-0840
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 037842 New York

Profile Details

NPI number 1992811368
LBN Legal business name Rosen, Brian J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1992811368 NPPES
New York MEDICAID 00853338

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