Provider Demographics
NPI:1851533921
Name:ADAM B ROSENBLUTH MD PC
Entity Type:Organization
Organization Name:ADAM B ROSENBLUTH MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:ROSENBLUTH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-737-2274
Mailing Address - Street 1:912 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4159
Mailing Address - Country:US
Mailing Address - Phone:212-737-2274
Mailing Address - Fax:212-861-9753
Practice Address - Street 1:912 5TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4159
Practice Address - Country:US
Practice Address - Phone:212-737-2274
Practice Address - Fax:212-861-9753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-03
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH87426Medicare UPIN
NY505Q21Medicare PIN