Healthcare Provider Details

I. General information

NPI: 1932175445
Provider Name (Legal Business Name): DAVID F ROSNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7785 N STATE ST SUITE 130
LOWVILLE NY
13367-1229
US

IV. Provider business mailing address

PO BOX 2337
SYRACUSE NY
13220-2337
US

V. Phone/Fax

Practice location:
  • Phone: 315-376-5163
  • Fax: 315-376-0372
Mailing address:
  • Phone: 315-701-5610
  • Fax: 315-701-5608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number153527-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: