Individual
DR. ALEXIS B ROTHENBERG MADDOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
630 W 168TH ST # MC28, NEW YORK, NY 10032-3725
(212) 305-1948
Mailing address
630 W 168TH ST # MC28, NEW YORK, NY 10032-3725
(212) 305-1948
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
284380-1
NY
2085R0202X
Diagnostic Radiology Physician
284380
NY
Other
Enumeration date
05/28/2009
Last updated
05/09/2017
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