Provider Demographics
NPI:1801862271
Name:ROKHSAR, CAMERON K (MD)
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:K
Last Name:ROKHSAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:121 E 60TH ST
Mailing Address - Street 2:STE 8AB
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1117
Mailing Address - Country:US
Mailing Address - Phone:212-285-1110
Mailing Address - Fax:516-512-7617
Practice Address - Street 1:328 E 75TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3317
Practice Address - Country:US
Practice Address - Phone:212-285-1110
Practice Address - Fax:516-512-7617
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2020-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY214852207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH71613Medicare UPIN