Provider Demographics
NPI:1689055519
Name:ROZENSTRAUCH, ADAM (DPM)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:ROZENSTRAUCH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 JERICHO TPKE STE 202
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-2100
Mailing Address - Country:US
Mailing Address - Phone:516-488-1131
Mailing Address - Fax:
Practice Address - Street 1:7844 METROPOLITAN AVE
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-2966
Practice Address - Country:US
Practice Address - Phone:718-269-7239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-16
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006903213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery