Provider Demographics
NPI:1891912986
Name:ROSENBERG, MARSHA D (MD)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:D
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:MARSHA
Other - Middle Name:D
Other - Last Name:SAYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:129 B EAST 71ST STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4201
Mailing Address - Country:US
Mailing Address - Phone:212-879-0547
Mailing Address - Fax:212-861-8422
Practice Address - Street 1:129 B EAST 71ST STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10021-4201
Practice Address - Country:US
Practice Address - Phone:212-879-0547
Practice Address - Fax:212-861-8422
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1019332084P0015X
NYMD1019332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC12206Medicare UPIN
NY841511Medicare ID - Type Unspecified