Provider Demographics
NPI:1982712444
Name:ROSENBERG, HOWARD E (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:E
Last Name:ROSENBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 MADISON AVE RM 901
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1086
Mailing Address - Country:US
Mailing Address - Phone:646-217-4590
Mailing Address - Fax:646-217-4593
Practice Address - Street 1:645 MADISON AVE RM 901
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1086
Practice Address - Country:US
Practice Address - Phone:646-217-4590
Practice Address - Fax:646-217-4593
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194223207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
G68738Medicare UPIN
NY5T1581Medicare ID - Type Unspecified