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NPI Code Detail

MEDICARE: AARON ROSENBAUM LICENSED CLINICAL SOCIAL WORKER P C

MEDICARE: AARON ROSENBAUM LICENSED CLINICAL SOCIAL WORKER P C
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1760030969
Entity Type Code : Organization
Provider Name (Legal Business Name) : AARON ROSENBAUM LICENSED CLINICAL SOCIAL WORKER P C
Provider Business Mailing Address
First Line : 381 KENMORE AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14223-2861
Country : US
Telephone Number : 716-361-6792
Fax Number :
Provider Business Practice Location Address
First Line : 381 KENMORE AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14223-2861
Country : US
Telephone Number : 716-361-6792
Fax Number :
Authorized Official
Title or Position : OWNER
Name : AARON J ROSENBAUM
Credential : LCSW-R
Telephone Number : 716-361-6792
Provider Enumeration Date : 08/30/2019
Last Update Date : 08/30/2019

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