Individual
ALAN HERBERT ROTHBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 OCEAN PKWY, APT BB, BROOKLYN, NY 11230-2755
(718) 421-0047
(718) 859-3017
Mailing address
825 OCEAN PKWY, APT BB, BROOKLYN, NY 11230-2755
(718) 421-0047
(718) 859-3017
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
139223
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00582485
—
NY
01
—
46A241
EMPIRE BC
NY
01
—
P00153171
RR MEDICARE
—
Enumeration date
07/11/2006
Last updated
11/26/2007
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