Individual
ROSEANN RENSCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 BI COUNTY BLVD STE 114, FARMINGDALE, NY 11735-3931
(718) 264-1640
Mailing address
213 ELSIE AVE, MERRICK, NY 11566-3023
(516) 526-9724
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
778346131
NY
Other
Enumeration date
12/01/2013
Last updated
12/01/2013
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