| Michael Eric Rosen, MD, PC | |
|
425 W 59th St 4a New York NY 10019-1104 | |
| (212) 489-8800 | |
| (212) 977-9111 |
| Full Name | Michael Eric Rosen, MD, PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 425 W 59th St, New York, New York |
| Authorized Official Name and Position | Michael Eric Rosen (HEAD OF CORPORATION) |
| Authorized Official Contact | 2124898800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Eric Rosen, MD, PC 230 E 79th St Apt 18f New York NY 10021-1256 Ph: (212) 988-2305 | Michael Eric Rosen, MD, PC 425 W 59th St 4a New York NY 10019-1104 Ph: (212) 489-8800 |
| NPI Number | 1386847986 |
|---|---|
| Provider Enumeration Date | 06/09/2007 |
| Last Update Date | 04/17/2008 |
| Medicare PECOS PAC ID | 1557460649 |
|---|---|
| Medicare Enrollment ID | O20070702000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386847986 | NPI | - | NPPES |
| 02461989 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 225604 (New York) | Primary |
| Provider Name | Michael Rosen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114910890 PECOS PAC ID: 0345229951 Enrollment ID: I20040716001027 |
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