Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | N004792-1 | NY |
N | 222Z00000X | Podiatrist | N004792-1 | NY |
N | 213ES0131X | Foot Surgery | N004792-1 | NY |
NPI | 1104981877 |
---|---|
Provider Name | Eric Rosenberg |
First Address | Woodmere, NY 11598-2552 |
Second Address | Woodmere, NY 11598-2552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01302785 | (05) | NY |
1042323 | UNITED HEALTH CARE (01) | NY |
1C6729 | ACS HEALTH PLAN (01) | NY |
4950990001 | MEDICARE DME (01) | NY |
59872 | VYTRA HEALTH PLANS (01) | NY |
6200506 | GROUP HEALTH INCORPORATED (01) | NY |
9131217 | CIGNA HEALTH PLANS (01) | NY |
U28380 | (02) | NY |