MEDICARE: DAVID PETER ROSENZWEIG DPM

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	213E00000X	Podiatrist	N0034311	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	:	1083676654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID PETER ROSENZWEIG DPM

Provider Business Mailing Address
First Line	:	90 SOUTH RIDGE ST
Second Line	:	STE LL7
City	:	RYE BROOK
State	:	NY
Zip	:	10573-2867
Country	:	US
Telephone Number	:	914-937-7077
Fax Number	:	914-937-7677

Provider Business Practice Location Address
First Line	:	90 S RIDGE ST
Second Line	:	STE LL7
City	:	RYE BROOK
State	:	NY
Zip	:	10573-2867
Country	:	US
Telephone Number	:	914-937-7077
Fax Number	:	914-937-7677

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

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	02/12/2015

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