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NPI Code Detail

MEDICARE: DR. DAVID C ROSENFELD P.A.

MEDICARE: DR. DAVID C ROSENFELD P.A.
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
1363A00000XPhysician Assistant006821-1NY

General Provider Information

NPI Number : 1306811740
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID C ROSENFELD P.A.
Provider Business Mailing Address
First Line : 2502 AVENUE I
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2830
Country : US
Telephone Number : 718-258-1400
Fax Number : 718-421-0628
Provider Business Practice Location Address
First Line : 2502 AVENUE I
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2830
Country : US
Telephone Number : 718-258-1400
Fax Number : 718-421-0628
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID C ROSENFELD P.A.” Practice Location

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