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NPI 1184668121

NPI 1184668121 : KEVIN DAVID ROSIN O.D. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1184668121
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    Entity Type          |    Individual 
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    Provider Name        |    KEVIN DAVID ROSIN O.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/16/2006
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    Last Update Date     |    05/26/2010
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Provider Practice Location Address
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    Address Line         |    30 E 60TH ST SUITE 201
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10022-1008
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    Country              |    US
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    Telephone            |    212-355-5145
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    Fax                  |    212-308-3262
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Provider Business Mailing Address
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    Address Line         |    30 E 60TH ST SUITE 201
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10022-1085
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    Country              |    US
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    Telephone            |    212-355-5145
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    Fax                  |    212-308-3262
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152WC0802X
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    Taxonomy Name        |    Corneal and Contact Management Optometrist
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    License Number       |    TUV006632
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    152WL0500X
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    Taxonomy Name        |    Low Vision Rehabilitation Optometrist
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    License Number       |    TUV006632
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    152WV0400X
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    Taxonomy Name        |    Vision Therapy Optometrist
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    License Number       |    TUV 006632
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    License Number State |    NY
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Taxonomy #4
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    Taxonomy Code        |    152WP0200X
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    Taxonomy Name        |    Pediatric Optometrist
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    License Number       |    TUV 006632
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    License Number State |    NY
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Taxonomy #5
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    TUV 006632
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    License Number State |    NY
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