Provider Demographics
NPI:1225144694
Name:ROSMARIN, LEONARD (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:
Last Name:ROSMARIN
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 1:18-15 FRANCIS LEWIS BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-3895
Mailing Address - Country:US
Mailing Address - Phone:718-746-5463
Mailing Address - Fax:718-746-1967
Practice Address - Street 1:18-15 FRANCIS LEWIS BLVD
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-3895
Practice Address - Country:US
Practice Address - Phone:718-746-5463
Practice Address - Fax:718-746-1967
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY131183207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
4206044OtherAETNA
26003POtherHIP
DS279OtherOXFORD
0022249OtherGHI
4C8363OtherHEALTHNET
NY00437861Medicaid
160798OtherELDERPLAN
39846OtherVYTRAHEALTH
76724OtherUS HEALTHCARE
0439789017OtherCIGNA
26A361OtherBCBS
0022249OtherGHI
0439789017OtherCIGNA
4C8363OtherHEALTHNET