MEDICARE: COMPUTERIZED DIAGNOSTIC SCANNING ASSOCIATES,P.C.

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	174400000X	Specialist		NY

General Provider Information

NPI Number	:	1982700951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPUTERIZED DIAGNOSTIC SCANNING ASSOCIATES,P.C.

Provider Business Mailing Address
First Line	:	1421 3RD AVE
Second Line	:	FIRST FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10028-1802
Country	:	US
Telephone Number	:	212-570-6565
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 3RD AVE
Second Line	:	FIRST FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10028-1802
Country	:	US
Telephone Number	:	212-570-6565
Fax Number	:

Authorized Official
Title or Position	:	PHYSCIAN
Name	:	DR. ALFRED ROSENBAUM
Credential	:	M.D.
Telephone Number	:	212-570-6565

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	08/22/2020

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