Provider Demographics
NPI:1639198476
Name:ROSING, MARK ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:ALAN
Last Name:ROSING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:36 SILVER BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-3810
Mailing Address - Country:US
Mailing Address - Phone:914-235-6339
Mailing Address - Fax:914-236-6339
Practice Address - Street 1:4422 3RD AVE
Practice Address - Street 2:SBH DEPARTMENT OF OBSTETRICS & GYNECOLOGY
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-2545
Practice Address - Country:US
Practice Address - Phone:718-960-9415
Practice Address - Fax:718-960-9414
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY214655207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0991620Medicaid
NYH15272Medicare UPIN
NY0991620Medicaid