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Contact Information

LISA ROSENBERG, MD
6134 188TH STREET
SUITE 219
FRESH MEADOWS, NY11365
 Phone: 718-454-3200
 Fax: 718-465-4865
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for LISA ROSENBERG · (Female)

NPI # 1265502934
Status Active
Credentials MD
Entity Individual
Enumeration date 11/09/2006
Last updated 01/31/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 151716
  • Other 29D771LR BCBS
  • Other DP350 OXFORD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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