Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 006751 | NY |
N | 222Z00000X | Podiatrist | 006751 | NY |
Y | 213ES0103X | Foot & Ankle Surgery | 25MD00327400 | NJ |
NPI | 1013377548 |
---|---|
Provider Name | Samantha Rosenzweig |
First Address | Emerson, NJ 07630-1368 |
Second Address | Emerson, NJ 07630-1368 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2016 |
Last Update Date | 01/12/2017 |