Individual
MARY ELLEN ROSENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16783 IVES STREET EXT, WATERTOWN, NY 13601-5312
(315) 788-5377
(315) 788-5373
Mailing address
16783 IVES STREET EXT, WATERTOWN, NY 13601-5312
(315) 788-5377
(315) 788-5373
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
000000
NY
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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