| Gary S Rosenbaum Md Pc | |
|
887 Old Country Rd Suite A Riverhead NY 11901-2115 | |
| (631) 727-6122 | |
| (631) 727-2672 |
| Full Name | Gary S Rosenbaum Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 887 Old Country Rd, Riverhead, New York |
| Authorized Official Name and Position | Sharyn Donnelly (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 6317276122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary S Rosenbaum Md Pc 887 Old Country Rd Suite A Riverhead NY 11901-2115 Ph: (631) 727-6122 | Gary S Rosenbaum Md Pc 887 Old Country Rd Suite A Riverhead NY 11901-2115 Ph: (631) 727-6122 |
| NPI Number | 1346559192 |
|---|---|
| Provider Enumeration Date | 09/28/2010 |
| Last Update Date | 09/28/2010 |
| Medicare PECOS PAC ID | 8628251170 |
|---|---|
| Medicare Enrollment ID | O20110322000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346559192 | NPI | - | NPPES |
| 011924229 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 1735421 (New York) | Primary |
| Provider Name | Gary Steven Rosenbaum |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437261385 PECOS PAC ID: 9537342084 Enrollment ID: I20110322000476 |
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