Individual
DR. ALAN J ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
177 E 87TH ST, SUITE407, NEW YORK, NY 10128-2226
(212) 861-2997
(212) 861-3749
Mailing address
177 E 87TH ST, SUITE407, NEW YORK, NY 10128-2226
(212) 861-2997
(212) 861-3749
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004590
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N004590
NY
213ES0000X
Sports Medicine Podiatrist
N004590
NY
213ES0131X
Foot Surgery Podiatrist
N004590
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01179506
—
NY
01
—
480029371
RAILROAD
—
01
—
KS4442997
OXFORD
—
01
—
P50841
BCBS
—
01
—
P50842
BCBS
—
Enumeration date
01/16/2007
Last updated
02/24/2017
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