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General NPI Number Information
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NPI Number | 1679609481
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Entity Type | Individual
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Provider Name | HAROLD SCOTT ROSEN MD
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 ELM STREET LOWER LEVEL SUITE A
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City | TUCKAHOE
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State | NY
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Zip | 10707
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Country | US
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Telephone | 914-337-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 14 HARWOOD COURT SUITE 209
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City | SCARSDALE
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State | NY
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Zip | 10583
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Country | US
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Telephone | 914-337-7400
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 136497
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License Number State | NY
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