Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 090590 | NY |
NPI | 1013910165 |
---|---|
Provider Name | Dr. Alan S Rosenberg |
First Address | Great Neck, NY 11021-5306 |
Second Address | Great Neck, NY 11021-5306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 04/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C10937 | (02) | NY |