Individual provider · Type 1 NPI

Jacqueline Rosenbaum, PA

Surgical Physician Assistant · Albany, NY

NPI number 1710496757 Active

Practice location

123 Everett Rd
Albany, NY 12205-1407

Call (518) 701-2000 Map

Fax (518) 701-2139

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X021349 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1710496757

Jacqueline Rosenbaum, PA's National Provider Identifier is 1710496757, issued on Sep 21, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Albany, NY. The record was last updated on Feb 8, 2020.