Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | N005979 | NY |
NPI | 1023049889 |
---|---|
Provider Name | Dr. Tomasz Rostkowski |
First Address | Lindenhurst, NY 11757-4439 |
Second Address | Lindenhurst, NY 11757-4439 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U98242 | (02) | NY |