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NPI Code Detail

MEDICARE: DR. VIVIAN EDITH ROSTON M.D.

MEDICARE: DR. VIVIAN EDITH ROSTON 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
1207V00000XObstetrics & Gynecology Physician187570-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992706493
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VIVIAN EDITH ROSTON M.D.
Provider Business Mailing Address
First Line : 3175 23RD ST
Second Line :
City : ASTORIA
State : NY
Zip : 11106-4134
Country : US
Telephone Number : 646-680-4227
Fax Number : 718-956-2261
Provider Business Practice Location Address
First Line : 3175 23RD ST
Second Line :
City : ASTORIA
State : NY
Zip : 11106-4134
Country : US
Telephone Number : 646-680-4227
Fax Number : 718-956-2261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 04/10/2017

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