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Contact Information

GARY S ROSENBAUM, MD
887 OLD COUNTRY RD
SUITE A
RIVERHEAD, NY11901-2115
 Phone: 631-727-6122
 Fax: 631-727-2672
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GARY S ROSENBAUM · (Male)

NPI # 1437261385
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 173542
  • NY Medicaid 01192429
Hospital affiliation(s)
  • PECONIC BAY MEDICAL CENTER - (Acute Care)
    1300 ROANOKE AVENUE
    RIVERHEAD, NY 11901
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
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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