Provider Demographics
NPI:1538462775
Name:MAJER ROSENFELD MD PC
Entity Type:Organization
Organization Name:MAJER ROSENFELD MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAJER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-263-7835
Mailing Address - Street 1:7044 136TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1947
Mailing Address - Country:US
Mailing Address - Phone:718-263-7835
Mailing Address - Fax:718-263-1221
Practice Address - Street 1:11129 76TH DR
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7005
Practice Address - Country:US
Practice Address - Phone:718-263-7835
Practice Address - Fax:718-263-1221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY126803208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00236508Medicaid
NY82856Medicare PIN
NYB88795Medicare UPIN