Provider Demographics
NPI:1316179740
Name:ROSMAN, ELIYAHU CHANAN (MD)
Entity Type:Individual
Prefix:
First Name:ELIYAHU
Middle Name:CHANAN
Last Name:ROSMAN
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 1:1800 ROCKAWAY AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1669
Mailing Address - Country:US
Mailing Address - Phone:516-390-8694
Mailing Address - Fax:516-390-8697
Practice Address - Street 1:1800 ROCKAWAY AVE STE 102
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1669
Practice Address - Country:US
Practice Address - Phone:516-390-8694
Practice Address - Fax:516-390-8697
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-18
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250416208000000X, 2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics