Provider Demographics
NPI:1295716371
Name:ROSNER, LOUIS M (MD)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:M
Last Name:ROSNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 N VILLAGE AVE
Mailing Address - Street 2:STE 1A
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-3800
Mailing Address - Country:US
Mailing Address - Phone:516-678-0303
Mailing Address - Fax:516-678-0445
Practice Address - Street 1:176 N VILLAGE AVE
Practice Address - Street 2:STE 1A
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-3800
Practice Address - Country:US
Practice Address - Phone:516-678-0303
Practice Address - Fax:516-678-0445
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1386041207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYLR074A4110OtherBCBS 5040
NYLR074A4110OtherBCBS 5012
NYLR074A4110OtherBCBS 5011
NYLR074A4110OtherBCBS 5036
581919OtherUNITE 1600 UNITED HEALTHC
0176650001OtherDMERC HEALTH NOW
581919OtherUHC UNITED HEALTHCARE
NYLR074A4110OtherBCBS 3877
40003746OtherMDCR RRRB RAILROAD
581919OtherUNIT740800 UNITED HEALTHC
581919OtherUNITE 30555 UNITED HEALTH
74A411OtherMDCR SECONDARY
NYLR074A4110OtherBCBS 5077
NYLR074A4110OtherBCBS 1407
NYLR074A4110OtherBCBS 3876
NYLR074A4110OtherBCBS 5047
NYLR074A4110OtherBCBS 5059
NYLR074A4110OtherBCBS 1407
NYLR074A4110OtherBCBS 5077