Provider Demographics
NPI:1356314611
Name:ROSENBLUM, NEAL N (MD)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:N
Last Name:ROSENBLUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 BROOKDALE PLAZA
Mailing Address - Street 2:PHYSICIAN ENTERPRISE
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212
Mailing Address - Country:US
Mailing Address - Phone:718-240-7143
Mailing Address - Fax:718-240-5805
Practice Address - Street 1:1 BROOKDALE PLAZA
Practice Address - Street 2:BHMC WOMEN'S HEALTH CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-1121
Practice Address - Country:US
Practice Address - Phone:718-240-5977
Practice Address - Fax:718-240-5808
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY153526207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00844046Medicaid
B10549Medicare UPIN
NY00844046Medicaid