Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 2085 | NY |
Y | 222Z00000X | Podiatrist | 2085 | NY |
NPI | 1003817719 |
---|---|
Provider Name | Dr. Elliott Rosensweet |
First Address | Plainview, NY 11803-1004 |
Second Address | Plainview, NY 11803-1004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00401547 | (05) | NY |
T50642 | (02) |