Basic Information
| Provider Information | |||||||||
| NPI: | 1760738520 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROBERT ROSENZWEIG, MD, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9 LIVINGSTON ST STE 2N | ||||||||
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| City: | POUGHKEEPSIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 126014719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8454831230 | ||||||||
| FaxNumber: | 8454831232 | ||||||||
| Practice Location | |||||||||
| Address1: | 1335 ROUTE 44 | ||||||||
| Address2: | |||||||||
| City: | PLEASANT VALLEY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 125697868 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8456351966 | ||||||||
| FaxNumber: | 8454831232 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2012 | ||||||||
| LastUpdateDate: | 07/31/2012 | ||||||||
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| AuthorizedOfficialLastName: | ROSENZWEIG | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | ALAN | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8454831230 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 172383 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.