MEDICARE: ROCKLAND COMMUNITY SERVICES

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	251V00000X	Voluntary or Charitable Agency	26053459001667	NY

General Provider Information

NPI Number	:	1437690443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKLAND COMMUNITY SERVICES

Provider Business Mailing Address
First Line	:	16 KING ARTHUR CT
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-6352
Country	:	US
Telephone Number	:	914-646-1004
Fax Number	:

Provider Business Practice Location Address
First Line	:	16 KING ARTHUR CT
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-6352
Country	:	US
Telephone Number	:	914-646-1004
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DONNA LEE EHRENBERG
Credential	:
Telephone Number	:	914-646-1004

Provider Enumeration Date	:	03/10/2017
Last Update Date	:	03/10/2017

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Directions to “ROCKLAND COMMUNITY SERVICES ” Practice Location

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