Healthcare Provider Details

I. General information

NPI: 1619915956
Provider Name (Legal Business Name): DANIEL ADAM ROWEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 05/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 E 56TH ST
NEW YORK NY
10022-3754
US

IV. Provider business mailing address

PO BOX 158
NEW YORK NY
10150-0158
US

V. Phone/Fax

Practice location:
  • Phone: 212-203-8744
  • Fax:
Mailing address:
  • Phone: 212-203-8744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG81547
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberG81547
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: