Provider Demographics
NPI:1164747945
Name:ROSEN, ANTHONY EHREN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:EHREN
Last Name:ROSEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 EAST 68TH ST. BOX 301
Mailing Address - Street 2:NEW YORK PRESBYTERIAN EMERGENCY DEPARTMENT RESIDENCY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-746-0892
Mailing Address - Fax:
Practice Address - Street 1:525 E 68TH ST # 301
Practice Address - Street 2:NEW YORK PRESBYTERIAN EMERGENCY DEPARTMENT RESIDENCY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-0892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY273565207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program