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NPI Code Detail

MEDICARE: BELLA ROZMAN

MEDICARE:   BELLA  ROZMAN
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1609151620
Entity Type Code : Individual
Provider Name (Legal Business Name) : BELLA ROZMAN
Provider Business Mailing Address
First Line : 453 WINDHAM LOOP
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-7831
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2795 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-5866
Country : US
Telephone Number : 718-982-6982
Fax Number : 718-982-6916
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2011
Last Update Date : 10/21/2011

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Directions to “ BELLA ROZMAN ” Practice Location

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