Rosen, Douglas Ira
Rosen, Douglas Ira is an individual health care provider with primary practice located at 3620 E Tremont Ave 2Nd Floor, Bronx NY 10465-2022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Rosen, Douglas Ira can be contacted via phone (718) 792-4700.Contact Information
Primary practice address
3620 E Tremont Ave 2Nd Floor
Bronx NY 10465-2022
Phone: (718) 792-4700
Fax: (718) 828-1898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 146634 | New York |
Profile Details
| NPI number | 1821081027 |
|---|---|
| LBN Legal business name | Rosen, Douglas Ira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821081027 | NPPES |
| New York | MEDICAID | 00806235 |
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