Rosenblum, Isaac Raoul
Rosenblum, Isaac Raoul is an sole proprietor health care provider with primary practice located at 969 Main St Ste D , Fishkill NY 12524. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rosenblum, Isaac Raoul can be contacted via phone (845) 896-7730.Contact Information
Primary practice address
969 Main St Ste D
Fishkill NY 12524
Phone: (845) 896-7730
Fax: (845) 896-7758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 018623 | New York |
Profile Details
| NPI number | 1154709624 |
|---|---|
| LBN Legal business name | Rosenblum, Isaac Raoul |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2015 |
| Last updated | Dec 13th, 2018 - about 6 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 | 1154709624 | NPPES |
| New York | MEDICAID | 04202728 |
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