NPI 1982065033

Itamar Rosenbaum, CPEDCFOBOCPD

Practitioner Pedorthist Brooklyn, NY

Practice location

Address: 2102 63rd St, Brooklyn, NY 11204-3058
Phone: (718) 236-7700
Fax: (718) 234-3380
Mailing address: 5314 16th Ave 73, Brooklyn, NY 11204-1425

Registered specialties (2)

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

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Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1982065033
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Mar 2016
Record last updated: 17 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.