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NPI Code Detail

MEDICARE: DR. CARL E ROSENKILDE MD PHD

MEDICARE: DR. CARL E ROSENKILDE MD PHD
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
12084N0400XNeurology Physician177237-1NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
392Z02WS371OTHERNYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2WS222OTHEROXFORD

General Provider Information

NPI Number : 1316928187
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARL E ROSENKILDE MD PHD
Provider Business Mailing Address
First Line : 91 SMITH AVE
Second Line :
City : MOUNT KISCO
State : NY
Zip : 10549-2810
Country : US
Telephone Number : 914-241-1717
Fax Number : 914-241-0413
Provider Business Practice Location Address
First Line : 91 SMITH AVE
Second Line :
City : MOUNT KISCO
State : NY
Zip : 10549-2810
Country : US
Telephone Number : 914-241-1717
Fax Number : 914-241-0413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 06/25/2012

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