Individual
DR. JUDITH BARBARA ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
627 BROADWAY STE 200, MASSAPEQUA, NY 11758-5031
(516) 409-8495
(631) 846-7925
Mailing address
288 BIRCHWOOD RD, MEDFORD, NY 11763-1239
(516) 383-1415
(631) 846-7925
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010871
NY
Other
Enumeration date
09/13/2005
Last updated
08/11/2019
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