MEDICARE: MS. ANN ROSENBERG L,C.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	R041487	NY

General Provider Information

NPI Number	:	1336159250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANN ROSENBERG L,C.S.W.

Provider Business Mailing Address
First Line	:	215 E 24TH ST
Second Line	:	APT. 223
City	:	NEW YORK
State	:	NY
Zip	:	10010-3802
Country	:	US
Telephone Number	:	212-678-5822
Fax Number	:	212-685-6577

Provider Business Practice Location Address
First Line	:	215 E 24TH ST
Second Line	:	APT. 223
City	:	NEW YORK
State	:	NY
Zip	:	10010-3802
Country	:	US
Telephone Number	:	212-678-5822
Fax Number	:	212-685-6577

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	07/09/2007

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Directions to “ MS. ANN ROSENBERG L,C.S.W.” Practice Location

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