Healthcare Provider Details

I. General information

NPI: 1689055519
Provider Name (Legal Business Name): ADAM ROZENSTRAUCH D.P.M
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2015
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7844 METROPOLITAN AVE
MIDDLE VILLAGE NY
11379-2966
US

IV. Provider business mailing address

199 JERICHO TPKE STE 202
FLORAL PARK NY
11001-2100
US

V. Phone/Fax

Practice location:
  • Phone: 718-269-7239
  • Fax:
Mailing address:
  • Phone: 516-488-1131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberN006903
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number006903
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: