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NPI Code Detail

MEDICARE: DR. PAUL PETER ROSEN M.D.

MEDICARE: DR. PAUL PETER ROSEN 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
1174400000XSpecialist94849NY

General Provider Information

NPI Number : 1720028400
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL PETER ROSEN M.D.
Provider Business Mailing Address
First Line : BOX 29409,GPO
Second Line :
City : NEW YORK
State : NY
Zip : 10087-9409
Country : US
Telephone Number : 646-253-2808
Fax Number : 212-746-3856
Provider Business Practice Location Address
First Line : 525 EAST 68TH STREET
Second Line :
City : NEW YORK
State : NY
Zip : 10087
Country : US
Telephone Number : 646-253-2808
Fax Number : 212-746-3856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 07/08/2007

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