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Individual

DR. WARREN ROSENBLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19 BRADHURST AVE, STE 700, HAWTHORNE, NY 10532-2140
(914) 593-7800
(914) 593-7881
Mailing address
PO BOX 5801, NEW YORK, NY 10087-5801
(914) 593-7880
(914) 593-7881

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
220647
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02090013
NY
01
060063489
RAIL ROAD MEDICARE
NY
01
405P33K221
PTAN
NY
01
405P33K223
PTAN
NY
Enumeration date
05/24/2005
Last updated
10/08/2008
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