Physician Compare National (NPI:1437247814)

HEALTHCARE PROVIDER: ROSANNE M CEBELENSKI D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1437247814
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931380243
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110221000002
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CEBELENSKI
	Individual professional last name
Provider First Name	ROSANNE
	Individual professional first name
Provider Middle Name	MARIE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1644 DEER PARK AVE
	Group Practice or individual's line 1 address
City	DEER PARK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	117295211
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6312537005
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330286
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GOOD SAMARITAN HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y