Individual
ITAMAR ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.PED., CFO, BOCPD
Contact information
Practice address
2102 63RD ST, BROOKLYN, NY 11204-3058
(718) 236-7700
(718) 234-3380
Mailing address
5314 16TH AVE, 73, BROOKLYN, NY 11204-1425
(718) 236-7700
(718) 234-3380
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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