Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 217822 | NY |
NPI | 1003926908 |
---|---|
Provider Name | Dr. Karen Michele Rosewater |
First Address | New York, NY 10029 |
Second Address | New York, NY 10128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |