Provider Demographics
NPI:1396831590
Name:ROSNER, SARAN S (MD,PC)
Entity Type:Individual
Prefix:
First Name:SARAN
Middle Name:S
Last Name:ROSNER
Suffix:
Gender:M
Credentials:MD,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 SAW MILL RIVER RD
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1526
Mailing Address - Country:US
Mailing Address - Phone:914-741-2666
Mailing Address - Fax:914-741-2869
Practice Address - Street 1:245 SAW MILL RIVER RD
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-1526
Practice Address - Country:US
Practice Address - Phone:914-741-2666
Practice Address - Fax:914-741-2869
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY133328174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
C05921Medicare UPIN
14D051Medicare PIN