Individual
MR. RAPHAEL ELIEZER ROSENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1316 48TH ST, BROOKLYN, NY 11219-3167
(718) 436-8988
(718) 435-8861
Mailing address
140 EAST 80TH ST, NEW YORK, NY 10075-0306
(212) 772-0600
(212) 517-8028
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
239531
MA
207W00000X
Ophthalmology Physician
Primary
257453
NY
207W00000X
Ophthalmology Physician
257453-1
NY
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
257453
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032639003
—
NY
Enumeration date
08/27/2008
Last updated
12/30/2021
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