Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 127351 | NY |
NPI | 1063405652 |
---|---|
Provider Name | Dr. Lawrence David Rosman |
First Address | Forest Hills, NY 11375-5550 |
Second Address | Forest Hills, NY 11375-5550 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2005 |
Last Update Date | 31/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00305188 | (05) | NY |
008166 | COLA (01) | |
33D0704731 | CLIA (01) | |
C08881 | (02) |