MEDICARE: CHANA ROSENBERG M.S.

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	235Z00000X	Speech-Language Pathologist	SA9146	FL

General Provider Information

NPI Number	:	1568612695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANA ROSENBERG M.S.

Provider Business Mailing Address
First Line	:	800 NE 171ST TER
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-2158
Country	:	US
Telephone Number	:	305-249-0008
Fax Number	:

Provider Business Practice Location Address
First Line	:	1210 NE 173RD ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-1233
Country	:	US
Telephone Number	:	305-690-9185
Fax Number	:

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

Provider Enumeration Date	:	09/25/2008
Last Update Date	:	09/25/2008

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Directions to “ CHANA ROSENBERG M.S.” Practice Location

Language	Start Address	Practice Location

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