Rosen, Gerald

Rosen, Gerald is an individual health care provider with primary practice located at 25 South Main St , Pittsford NY 14534-1925. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Rosen, Gerald can be contacted via phone (585) 586-2222.

Contact Information

Primary practice address
25 South Main St Pittsford NY 14534-1925
Fax: (585) 381-4043
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 026077 New York

Profile Details

NPI number 1285769646
LBN Legal business name Rosen, Gerald
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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 1285769646 NPPES
New York MEDICAID 00450546

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