Basic Information
| Provider Information | |||||||||
| NPI: | 1568696714 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROSENBERG | ||||||||
| FirstName: | JAMIE | ||||||||
| MiddleName: | B. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 111 E 210TH ST | ||||||||
| Address2: | MONTEFIORE MEDICAL CENTER, DEPT OF OPHTHALMOLOGY | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104672401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189204609 | ||||||||
| FaxNumber: | 7188815439 | ||||||||
| Practice Location | |||||||||
| Address1: | 111 E 210TH ST | ||||||||
| Address2: | MONTEFIORE MEDICAL CENTER, DEPT OF OPHTHALMOLOGY | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104672401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189204609 | ||||||||
| FaxNumber: | 7188815439 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2009 | ||||||||
| LastUpdateDate: | 05/01/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 256169 | NY | N | Allopathic & Osteopathic Physicians | Ophthalmology | 207WX0110X | 256169 | NY | Y |
No ID Information.