MEDICARE: PATH TO HEALTH LLC

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	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1508725862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATH TO HEALTH LLC

Provider Business Mailing Address
First Line	:	18 LINCOLN AVE UNIT 202
Second Line	:
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-2077
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3119 FERNDALE AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21207-6712
Country	:	US
Telephone Number	:	845-274-2704
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YUDA ROSENBERG
Credential	:
Telephone Number	:	845-274-2704

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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Directions to “PATH TO HEALTH LLC ” Practice Location

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