Provider Demographics
NPI:1215939475
Name:ROHEN, ANDREW BRUCE (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:BRUCE
Last Name:ROHEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7580 184TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1715
Mailing Address - Country:US
Mailing Address - Phone:917-292-3115
Mailing Address - Fax:718-264-8909
Practice Address - Street 1:7580 184TH ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11366-1715
Practice Address - Country:US
Practice Address - Phone:718-454-2327
Practice Address - Fax:718-264-8909
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY134568207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB88854Medicare UPIN