Organization
ROSTOVSKY MEDICAL PRACTICE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTON ROSTOVSKY MD (MEDICAL DIRECTOR)
(646) 238-0266
Entity
Organization
Contact information
Practice address
203 WEST 87TH STREET, SUITE 21, NEW YORK, NY 10024-0000
(646) 238-0266
(718) 360-5366
Mailing address
203 WEST 87TH STREET, SUITE 21, NEW YORK, NY 10024-0000
(646) 238-0266
(718) 360-5366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
238524
NY
261QP2300X
Primary Care Clinic/Center
Primary
238524
NY
Other
Enumeration date
08/31/2012
Last updated
11/13/2012
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