Provider Demographics
NPI:1457404733
Name:HARVEY ROSENBLUM, MD,PC
Entity Type:Organization
Organization Name:HARVEY ROSENBLUM, MD,PC
Other - Org Name:ROSENBLUM EYE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROSENBLUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-683-7330
Mailing Address - Street 1:220 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3422
Mailing Address - Country:US
Mailing Address - Phone:212-683-7330
Mailing Address - Fax:212-683-1947
Practice Address - Street 1:220 MADISON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3422
Practice Address - Country:US
Practice Address - Phone:212-683-7330
Practice Address - Fax:212-683-1947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006865152W00000X
NY005768152W00000X
NY006843152W00000X
NY006618152W00000X
NYTUV006850152W00000X
NY142591207W00000X
NY106958207W00000X
NY084322207W00000X
NY197285207W00000X
NY235346-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYHA0W0D8020Medicare PIN
NY79774Medicare PIN
NYW0D801Medicare ID - Type UnspecifiedNYC MEDICARE
NYHA0W0D8010Medicare PIN
NYCJ5217Medicare PIN
NY0899050001Medicare NSC
NYW0D802Medicare ID - Type UnspecifiedBROOKLYN MEDICARE