Individual
MARIS D ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 MORRIS PARK AVE, BRONX, NY 10461-1929
(718) 839-7078
Mailing address
45 E 89TH ST APT 39G, NEW YORK, NY 10128-1257
(718) 839-7078
(718) 862-1845
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
154250
NY
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
154250
NY
Other
Enumeration date
10/31/2006
Last updated
05/16/2019
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