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Contact Information

MATTHEW ROSENBOOM
5 DAKOTA DR
NEW HYDE PARK, NY11042-1107
 Phone: 718-281-8672
 Fax: 516-302-8657
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Children

282NC2000X A0[7] Hospital-Children’s (PPS excluded)
Indicates primary specialty

NPI Profile & details for MATTHEW ROSENBOOM · (Male)

NPI Number 1760918064
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2017
Last updated 05/11/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 020108-1
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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