MEDICARE: DR. PAUL H ROSEN 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	N3869	NY

General Provider Information

NPI Number	:	1881684793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL H ROSEN DPM

Provider Business Mailing Address
First Line	:	225 EAST 7OTH STREET
Second Line	:	1E
City	:	NYC
State	:	NY
Zip	:	10021-5213
Country	:	US
Telephone Number	:	212-517-4660
Fax Number	:	212-517-8124

Provider Business Practice Location Address
First Line	:	225 EAST 7OTH STREET
Second Line	:	1E
City	:	NYC
State	:	NY
Zip	:	10021-5213
Country	:	US
Telephone Number	:	212-517-4660
Fax Number	:	212-517-8124

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

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	07/08/2007

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