IndividualActive
Gary Rothfeld, PHYSICIAN
NPI 1356490254 · Procedural Dermatology Physician · New York, NY
Provider details
- NPI number
- 1356490254
- Entity type
- Individual
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- PHYSICIAN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 152173 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
629 Park Ave Fl 1
New York, NY 10065-6530
Phone: (212) 644-4484
Approximate (ZIP-level) locationGet directions
Mailing address
629 Park Ave Fl 1
New York, NY 10065-6530
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2023-10-06
- Certified
- 2023-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.