Provider Demographics
NPI:1295862316
Name:ROSENSTREICH, JONATHAN M (MD)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:M
Last Name:ROSENSTREICH
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 1:800 WESTCHESTER AVE
Mailing Address - Street 2:SUITE N511
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-1354
Mailing Address - Country:US
Mailing Address - Phone:914-428-5454
Mailing Address - Fax:914-253-6900
Practice Address - Street 1:800 WESTCHESTER AVE
Practice Address - Street 2:SUITE N511
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-1354
Practice Address - Country:US
Practice Address - Phone:914-428-5454
Practice Address - Fax:914-253-6900
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60221923174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist