Individual provider · Type 1 NPI
Lisa Rosenberg, MD
Gynecology Physician · Fresh Meadows, NY
NPI number
1265502934
Active
Practice location
6134 188th Street, Suite 219
Fresh Meadows, NY 11365
Fax (718) 465-4865
Mailing address
990 Stewart Ave, Suite 400
Garden City, NY 11530-4822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician Primary | 207VG0400X | 151716 (NY) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
About NPI 1265502934
Lisa Rosenberg, MD's National Provider Identifier is 1265502934, issued on Nov 9, 2006. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Fresh Meadows, NY. The record was last updated on Jan 31, 2012.