Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 287877 | NY |
NPI | 1619395902 |
---|---|
Provider Name | Dr. Lauren Goldberg Rothstein |
First Address | New Hyde Park, NY 11042-1136 |
Second Address | New Hyde Park, NY 11042-1135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2014 |
Last Update Date | 01/10/2021 |