Healthcare Provider Details

I. General information

NPI: 1275534687
Provider Name (Legal Business Name): BARAK MEIR ROSENN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 10TH AVE STE 11A PERINATAL ASSOCIATES OF SLRHC
NEW YORK NY
10019-1147
US

IV. Provider business mailing address

PO BOX 95000-4930 PERINATAL ASSOCIATES OF SLR
PHILADELPHIA PA
19195-4930
US

V. Phone/Fax

Practice location:
  • Phone: 212-523-8110
  • Fax: 212-523-3472
Mailing address:
  • Phone: 516-338-5300
  • Fax: 516-333-1075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number217497-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: