Individual
MR. BARRY ROSENBLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6917 174TH ST, FLUSHING, NY 11365-3410
(718) 969-7199
Mailing address
6917 174TH ST, FLUSHING, NY 11365-3410
(718) 969-7199
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001157-1
NY
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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