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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

NPI Number 1760918064
Entity Organization
Organization subpart 1 Not specified
Enumeration date 05/04/2017
Last updated 05/11/2026 - About a month ago
Identifiers
NY License # 020108-1
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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