Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MT204697 | PA |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 298338 | NY |
NPI | 1336587062 |
---|---|
Provider Name | Joshua Rozell |
First Address | New York, NY 10016-2772 |
Second Address | New York, NY 10016-2772 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2013 |
Last Update Date | 31/03/2021 |