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NPI Code Detail

MEDICARE: LARISA ROZMAN

MEDICARE: LARISA 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
1235Z00000XSpeech-Language Pathologist016120NY

General Provider Information

NPI Number : 1891999447
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARISA ROZMAN
Provider Business Mailing Address
First Line : 7210 AVENUE M
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5808
Country : US
Telephone Number : 718-332-0080
Fax Number : 718-332-3365
Provider Business Practice Location Address
First Line : 2610 E 18TH ST
Second Line : SUITE 4
City : BROOKLYN
State : NY
Zip : 11235-3622
Country : US
Telephone Number : 718-332-0080
Fax Number : 718-332-3365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 07/20/2017

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Directions to “ LARISA ROZMAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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