MEDICARE: DR. INGRID KAREN ROSNER, MD M.D.

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	207KA0200X	Allergy Physician	150275	NY

General Provider Information

NPI Number	:	1679910384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. INGRID KAREN ROSNER, MD M.D.

Provider Business Mailing Address
First Line	:	301 E 66TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-6205
Country	:	US
Telephone Number	:	212-650-9000
Fax Number	:	212-650-9189

Provider Business Practice Location Address
First Line	:	301 E 66TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-6205
Country	:	US
Telephone Number	:	212-650-9000
Fax Number	:	212-650-9189

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

Provider Enumeration Date	:	06/04/2013
Last Update Date	:	06/04/2013

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