Individual
MRS. NANCY ELLEN ROSENBLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED.
Contact information
Practice address
6725 188TH ST, FRESH MEADOWS, NY 11365-3767
(718) 454-6460
Mailing address
8625 PINTO ST, HOLLIS, NY 11423-1245
(718) 465-1660
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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