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NPI Code Detail

MEDICARE: MARIYA ROZENFELD MD

MEDICARE: MARIYA ROZENFELD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VX0000XObstetrics Physician243381NY

General Provider Information

NPI Number : 1063610343
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIYA ROZENFELD MD
Provider Business Mailing Address
First Line : 1300 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1300 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1106
Country : US
Telephone Number : 212-420-2577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2007
Last Update Date : 03/31/2021

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