Provider Demographics
NPI:1730614868
Name:ROSENWASSER, JOSHUA NATHAN (MD)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:NATHAN
Last Name:ROSENWASSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOSH
Other - Middle Name:NATHAN
Other - Last Name:ROSENWASSER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:358 NORTH BROADWAY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591
Mailing Address - Country:US
Mailing Address - Phone:914-898-5088
Mailing Address - Fax:914-398-6523
Practice Address - Street 1:358 NORTH BROADWAY
Practice Address - Street 2:SUITE 202
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591
Practice Address - Country:US
Practice Address - Phone:914-898-5088
Practice Address - Fax:914-398-6523
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-26
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME145647207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine