Provider Demographics
NPI:1629017835
Name:ROSEN, ARNOLD M (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:M
Last Name:ROSEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 EAST 78TH STREET
Mailing Address - Street 2:GROUND LEVEL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-288-6380
Mailing Address - Fax:212-288-1675
Practice Address - Street 1:200 EAST 78TH STREET
Practice Address - Street 2:GROUND LEVEL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-288-6380
Practice Address - Fax:212-288-1675
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYNY1044972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00181677Medicaid
NY692491Medicare ID - Type Unspecified