| Elena Rosenbaum, MD | |
|
1714 Route 9 Ste A, Halfmoon, NY 12065-3111 | |
| (518) 900-1115 | |
| Not Available |
| Full Name | Elena Rosenbaum |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1714 Route 9 Ste A, Halfmoon, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689797607 | NPI | - | NPPES |
| 03023627 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 248307 (New York) | Primary |
| Entity Name | Whitney M Young Jr Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417924762 PECOS PAC ID: 6507830031 Enrollment ID: O20040821000073 |
| Entity Name | Community Care Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Elena Rosenbaum, MD 875 N High St Ste 200, Columbus, OH 43215-1429 Ph: (518) 900-1115 | Elena Rosenbaum, MD 1714 Route 9 Ste A, Halfmoon, NY 12065-3111 Ph: (518) 900-1115 |
Stephen F Kineke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1783 Route 9, Suite 202, Halfmoon, NY 12065 Phone: 518-383-2366 Fax: 518-383-6022 | |
Ms. Angelina M Miseno-callaghan, RPA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1694 Route 9, Halfmoon, NY 12065 Phone: 518-930-7486 Fax: 518-930-7487 | |
Dr. Jacob M Reider, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1714 Route 9 Ste A, Halfmoon, NY 12065 Phone: 518-900-1115 | |
Miguel Diaz, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1783 Route 9, Suite 204, Halfmoon, NY 12065 Phone: 518-371-9355 Fax: 518-373-9139 | |
Dr. Eric Carl Schnakenberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1783 Route 9, Suite 204, Halfmoon, NY 12065 Phone: 518-371-9355 Fax: 518-373-9139 | |
Shelley Justa, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1783 Route 9, Suite 202, Halfmoon, NY 12065 Phone: 518-383-2366 Fax: 518-383-6022 |