Provider Demographics
NPI:1881684793
Name:ROSEN, PAUL H (DPM)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:H
Last Name:ROSEN
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:225 EAST 7OTH STREET
Mailing Address - Street 2:1E
Mailing Address - City:NYC
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5213
Mailing Address - Country:US
Mailing Address - Phone:212-517-4660
Mailing Address - Fax:212-517-8124
Practice Address - Street 1:225 EAST 7OTH STREET
Practice Address - Street 2:1E
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10021-5213
Practice Address - Country:US
Practice Address - Phone:212-517-4660
Practice Address - Fax:212-517-8124
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYN3869213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist