Provider Demographics
NPI:1639181639
Name:ROSADO, ZULMA (MD)
Entity Type:Individual
Prefix:
First Name:ZULMA
Middle Name:
Last Name:ROSADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BROWN ST FL 4
Mailing Address - Street 2:CREDENTIALING DEPT
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-3617
Mailing Address - Country:US
Mailing Address - Phone:914-734-8858
Mailing Address - Fax:914-734-8745
Practice Address - Street 1:888 PULASKI HWY
Practice Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-6034
Practice Address - Country:US
Practice Address - Phone:845-651-2298
Practice Address - Fax:845-651-2299
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229566207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00473038Medicaid
NY00473038Medicaid