Individual
MARION J ROSENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
30 S BAYLES AVE, PORT WASHINGTON, NY 11050-3754
(516) 859-4878
Mailing address
45 PARK AVE, PORT WASHINGTON, NY 11050-4010
(516) 859-4878
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014834
NY
Other
Enumeration date
03/20/2007
Last updated
09/16/2016
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