| Doctor Name: | SUSAN I ROSEN |
| NPI Number: | 1568511079 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 2210891 |
| Business Practice Address: | 201 East 65th Street Yaffe Ruden & Associates Up New York, NY - 10021 |
| Business Phone Number: | 2128794700 |
| Business Fax Number: | 2127509654 |
| Mailing Address: | 201 East 65th Street, Yaffe Ruden & Associates Up NEW YORK |
| State: | NY |
| Postal Code: | 10021 |
| Phone Number: | 2128794700 |
| Fax Number: | 2127509654 |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 04/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2210891 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |