Most Relevant Information
Provider Data
| NPI Number: | 1003425760 |
| Provider Name: | MOSES ROSENBERG |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 1407596201 |
Most Important Dates
| Enumeration Date: | 07/29/2020 |
| Last Updated: | 07/29/2020 |
Provider Practice Location
1312 38TH ST
BROOKLYN
NY
112183612
Practice Location Phone/Fax
| Phone: | 7186863700 |
| Fax: |
Provider Mailing Location
1312 38TH ST
BROOKLYN
NY
112183612
Provider Mailing Phone/Fax
| Phone: | 7186863700 |
| Fax: |