Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

N.y. Rosedale Medical PC

Organization General Practice Physician · NPI 1477812907

N.y. Rosedale Medical PC is a General Practice Physician in Brooklyn, New York. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

121 Graham Ave
Brooklyn, NY 11206-2609
Phone: (718) 963-0073
Fax: (718) 963-0277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1477812907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean Dupoux — President · (718) 963-0073
NPI enumeratedMay 3, 2012
Last updated in NPPESMay 3, 2012
Mailing address121 Graham Ave, Brooklyn, NY 11206-2609

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