Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 232442 | NY |
NPI | 1033366059 |
---|---|
Provider Name | Dr. Audrey Rosinberg |
First Address | New York, NY 10075-1851 |
Second Address | New York, NY 10075-1851 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2008 |
Last Update Date | 06/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03161135 | (05) | NY |