Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 226193 | NY |
NPI | 1164403457 |
---|---|
Provider Name | Mr. Victor A Rosenberg |
First Address | Hewlett, NY 11557 |
Second Address | Hewlett, NY 11557 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2005 |
Last Update Date | 02/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03035816 | (05) | NY |
I40161 | (02) |