Individual
ELLIOT ROSENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
121 STATION RD, GREAT NECK, NY 11023-1720
(516) 428-8812
Mailing address
121 STATION RD, GREAT NECK, NY 11023-1720
(516) 428-8812
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
11/16/2020
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