Individual
GLORIA S. ROTHENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
1674 MEADOWBROOK RD, MERRICK, NY 11566-2505
(516) 223-9318
Mailing address
1674 MEADOWBROOK RD, MERRICK, NY 11566-2505
(516) 223-9318
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8041-1
NY
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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