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Specialty details in registry · Rosedale, NY

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At a glance

14838 Huxley St, Rosedale, NY 11422-2720

NPPES record updated Jul 15, 2015. Public records can lag behind changes at a practice.

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Practice location

14838 Huxley St
Rosedale, NY 11422-2720

Professional details: NPI, taxonomy & registry record

NPI1033593488

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 253Z00000X
Enumeration date: Jul 15, 2015
Record updated: Jul 15, 2015

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

253Z00000X · Primary

License reported: 004244-1 NY

Specialty details in registry

320600000X

License reported: 004244-1 NY

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

14838 Huxley St
Rosedale, NY 11422-2720

Phone: (917) 750-4929

Mailing address

14838 HUXLEY ST

ROSEDALE, NY 114222720

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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