Individual
BRACHA M ROSENBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1363 46TH ST, BROOKLYN, NY 11219-2140
(718) 435-5755
Mailing address
1750 56TH ST, BROOKLYN, NY 11204-1936
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
016220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091865
—
NY
Enumeration date
09/21/2010
Last updated
09/21/2010
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