MEDICARE: ADAM ROZENSTRAUCH D.P.M

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	213ES0131X	Foot Surgery Podiatrist	006903	NY

General Provider Information

NPI Number	:	1689055519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM ROZENSTRAUCH D.P.M

Provider Business Mailing Address
First Line	:	199 JERICHO TPKE STE 202
Second Line	:
City	:	FLORAL PARK
State	:	NY
Zip	:	11001-2100
Country	:	US
Telephone Number	:	516-488-1131
Fax Number	:

Provider Business Practice Location Address
First Line	:	7844 METROPOLITAN AVE
Second Line	:
City	:	MIDDLE VILLAGE
State	:	NY
Zip	:	11379-2966
Country	:	US
Telephone Number	:	718-269-7239
Fax Number	:

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

Provider Enumeration Date	:	06/16/2015
Last Update Date	:	09/12/2023

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