Individual provider · Type 1 NPI

Itamar Rosenbaum, C.PED., CFO, BOCPD

Pedorthist · Brooklyn, NY

NPI number 1982065033 Active

Practice location

2102 63rd St
Brooklyn, NY 11204-3058

Fax (718) 234-3380

Mailing address

5314 16th Ave, 73
Brooklyn, NY 11204-1425

Specialties and licenses

TaxonomyCodeLicense
Pedorthist Primary 224L00000XNone listed
Orthotic Fitter 225000000XNone listed

Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

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About NPI 1982065033

Itamar Rosenbaum, C.PED., CFO, BOCPD's National Provider Identifier is 1982065033, issued on Mar 17, 2016. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Brooklyn, NY. The record was last updated on Mar 17, 2016.