Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 132434 | NY |
N | 207VG0400X | Gynecologist | 132434 | NY |
N | 207VX0000X | Obstetrician | 132434 | NY |
NPI | 1386720910 |
---|---|
Provider Name | Lewis Stephen Rosenberg |
First Address | Westbury, NY 11590-5114 |
Second Address | Bethpage, NY 11714-6017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 03/12/2019 |