MEDICARE: DR. ROBERT ARTHUR ROSEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	183993-01	NY

General Provider Information

NPI Number	:	1275714776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ARTHUR ROSEN M.D.

Provider Business Mailing Address
First Line	:	511A W BROADWAY
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-3045
Country	:	US
Telephone Number	:	845-445-1832
Fax Number	:

Provider Business Practice Location Address
First Line	:	511A W BROADWAY
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-3045
Country	:	US
Telephone Number	:	845-445-1832
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2007
Last Update Date	:	02/02/2026

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