Provider Demographics
NPI:1609004985
Name:ROSENFELD, ATARA CHANA (RPA-C)
Entity Type:Individual
Prefix:MRS
First Name:ATARA
Middle Name:CHANA
Last Name:ROSENFELD
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:ATARA
Other - Middle Name:CHANA
Other - Last Name:GOLDFARB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPA-C
Mailing Address - Street 1:160 WATER STREET
Mailing Address - Street 2:20TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038
Mailing Address - Country:US
Mailing Address - Phone:212-420-2832
Mailing Address - Fax:
Practice Address - Street 1:16TH STREET 1ST AVENUE
Practice Address - Street 2:BETH ISRAEL MEDICAL CENTER
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-420-2840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0132671363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical