Individual
ERICA ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 WASHINGTON AVE, ROOSEVELT, NY 11575-1845
(516) 378-2000
Mailing address
15 WHEATLEY RD, GLEN HEAD, NY 11545-2905
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
012471
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012471
—
NY
Enumeration date
11/15/2006
Last updated
07/08/2007
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