Individual
MR. ILYA ROZENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS/CRNP
Contact information
Practice address
7452 BALTIMORE ANNAPOLIS BLVD, SUITE 107, GLEN BURNIE, MD 21061-3547
(410) 766-1544
(410) 766-1551
Mailing address
3 MARCIE WOODS CT, BALTIMORE, MD 21208-1965
(410) 766-1544
(410) 766-1551
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R143360
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402464800
—
MD
05
—
463350400
—
MD
Enumeration date
08/03/2006
Last updated
10/03/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us