MEDICARE: FABIENNE ROTTENBERG D.P.M.

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	213ES0131X	Foot Surgery Podiatrist	N004131-1	NY

General Provider Information

NPI Number	:	1992714026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FABIENNE ROTTENBERG D.P.M.

Provider Business Mailing Address
First Line	:	285 WEST END AVENUE
Second Line	:	SUITE 4Y
City	:	NEW YORK
State	:	NY
Zip	:	10023-2618
Country	:	US
Telephone Number	:	212-724-4457
Fax Number	:

Provider Business Practice Location Address
First Line	:	285 WEST END AVENUE
Second Line	:	SUITE 4Y
City	:	NEW YORK
State	:	NY
Zip	:	10023-2618
Country	:	US
Telephone Number	:	212-724-4457
Fax Number	:

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

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	12/04/2012

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Directions to “ FABIENNE ROTTENBERG D.P.M.” Practice Location

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