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NPI Code Detail

MEDICARE: RIVKA B ROSENBLATT M.S. CCC/SLP

MEDICARE:   RIVKA B ROSENBLATT  M.S. CCC/SLP
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
1235Z00000XSpeech-Language Pathologist016037NY

General Provider Information

NPI Number : 1437394202
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIVKA B ROSENBLATT M.S. CCC/SLP
Provider Business Mailing Address
First Line : 3705 AVENUE L
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-5447
Country : US
Telephone Number : 718-951-0627
Fax Number :
Provider Business Practice Location Address
First Line : 3705 AVENUE L
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-5447
Country : US
Telephone Number : 718-951-0627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2008
Last Update Date : 12/09/2008

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Directions to “ RIVKA B ROSENBLATT M.S. CCC/SLP” Practice Location

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