Provider Demographics
NPI:1568556744
Name:ROSSMAN, DAVID (DPM)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:ROSSMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 E 58TH ST
Mailing Address - Street 2:STE 407
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1162
Mailing Address - Country:US
Mailing Address - Phone:718-520-8811
Mailing Address - Fax:718-520-6646
Practice Address - Street 1:133 E 58TH ST
Practice Address - Street 2:SUITE 407
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1236
Practice Address - Country:US
Practice Address - Phone:212-355-0964
Practice Address - Fax:212-753-3521
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0037931213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4541703009OtherCIGNA
NY950321OtherAETNA
NY24389HOtherMEDICARE PTAN
NY24389HOtherMEDICARE PTAN
NY950321OtherAETNA