Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 158857 | NY |
N | 2080P0205X | Pediatric Endocrinologist | 158857 | NY |
NPI | 1285768622 |
---|---|
Provider Name | Dr. Michael Rosenbaum |
First Address | New York, NY 10024 |
Second Address | New York, NY 10024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 26/09/2013 |