Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 198819 | NY |
NPI | 1558342451 |
---|---|
Provider Name | David B Rosenberg |
First Address | New York, NY 10021-8183 |
Second Address | New York, NY 10021-8183 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2005 |
Last Update Date | 25/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0699706 | GHI (01) | |
P2034967 | OXFORD (01) |