Rosen, Jeffrey M.

Rosen, Jeffrey M. is an individual health care provider with primary practice located at 224 Sunrise Mall , Massapequa NY 11758-4340. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rosen, Jeffrey M. can be contacted via phone (516) 795-3030.

Contact Information

Primary practice address
224 Sunrise Mall Massapequa NY 11758-4340
Phone: (516) 795-3030
Fax: (516) 795-2418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X NY 003430-0 New York

Profile Details

NPI number 1598895898
LBN Legal business name Rosen, Jeffrey M.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jun 11th, 2008 - about 16 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 1598895898 NPPES
Other 11-3270311 TAX ID#

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