Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | N006723 | NY |
NPI | 1033478680 |
---|---|
Provider Name | Dr. Lonny Rosenfeld |
First Address | Monticello, NY 12701-1743 |
Second Address | Monticello, NY 12701-1743 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2012 |
Last Update Date | 20/08/2015 |