Provider Demographics
NPI:1679909048
Name:ROSENZWEIG, BERNARD MARTIN (RPH)
Entity Type:Individual
Prefix:MR
First Name:BERNARD
Middle Name:MARTIN
Last Name:ROSENZWEIG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 BLUEBIRD DR
Mailing Address - Street 2:
Mailing Address - City:CONGERS
Mailing Address - State:NY
Mailing Address - Zip Code:10920-2604
Mailing Address - Country:US
Mailing Address - Phone:845-267-8155
Mailing Address - Fax:
Practice Address - Street 1:1215 MAMARONECK AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-4807
Practice Address - Country:US
Practice Address - Phone:914-948-4818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026369183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist