MEDICARE: ROBERT ALAN ROSENZWEIG 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
1	207RG0100X	Gastroenterology Physician	172383	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073508818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ALAN ROSENZWEIG MD

Provider Business Mailing Address
First Line	:	6565 SPRING BROOK AVE STE 8
Second Line	:
City	:	RHINEBECK
State	:	NY
Zip	:	12572-3726
Country	:	US
Telephone Number	:	845-876-3003
Fax Number	:	845-876-9086

Provider Business Practice Location Address
First Line	:	6511 SPRING BROOK AVE
Second Line	:
City	:	RHINEBECK
State	:	NY
Zip	:	12572-3709
Country	:	US
Telephone Number	:	845-876-4432
Fax Number	:	845-876-9086

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	06/01/2022

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