Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | TUV 006632 | NY |
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | TUV006632 | NY |
N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | TUV006632 | NY |
N | 152WP0200X | Pediatric Optomitrist | TUV 006632 | NY |
N | 152WV0400X | Optomitrist - Vision Therapist | TUV 006632 | NY |
NPI | 1184668121 |
---|---|
Provider Name | Dr. Kevin David Rosin |
First Address | New York, NY 10022-1085 |
Second Address | New York, NY 10022-1008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 26/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00326889 | (05) | NY |
U98393 | (02) | NY |