Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N005426 | NY |
NPI | 1144381260 |
---|---|
Provider Name | Dr. Roselyn Marza Wroblewski |
First Address | Englewood, NJ 07631-3000 |
Second Address | New York, NY 10023-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 06/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01826695 | (05) | NY |
U69950 | (02) | NY |