Provider Demographics
NPI:1568848869
Name:UPPER EAST ORTHOPAEDICS, PC
Entity Type:Organization
Organization Name:UPPER EAST ORTHOPAEDICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:ROSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-986-9200
Mailing Address - Street 1:4349 KATONAH AVE BOX 301
Mailing Address - Street 2:NTRY BANK
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10470-1813
Mailing Address - Country:US
Mailing Address - Phone:845-363-4845
Mailing Address - Fax:845-278-9022
Practice Address - Street 1:315 E 83RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-4301
Practice Address - Country:US
Practice Address - Phone:212-986-9200
Practice Address - Fax:212-986-2334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-10
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty