Individual
DR. ALFRED ROSENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1421 3RD AVE, FIRST FLOOR, NEW YORK, NY 10028-1802
(212) 744-5538
(212) 744-4767
Mailing address
1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 509-6559
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
116442
NY
2085R0202X
Diagnostic Radiology Physician
Primary
116442
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790881852
NPI
—
Enumeration date
09/16/2006
Last updated
01/31/2020
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