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NPI Code Detail

MEDICARE: MISS KIMBERLY SARAH ROSENBERG M.S.ED./CCC-SLP/L

MEDICARE: MISS KIMBERLY SARAH ROSENBERG M.S.ED./CCC-SLP/L
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 Pathologist016330-1NY

General Provider Information

NPI Number : 1962655688
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KIMBERLY SARAH ROSENBERG M.S.ED./CCC-SLP/L
Provider Business Mailing Address
First Line : 54 CRESTHILL AVE
Second Line :
City : TONAWANDA
State : NY
Zip : 14150-7108
Country : US
Telephone Number : 585-813-4840
Fax Number :
Provider Business Practice Location Address
First Line : 2049 GEORGE URBAN BLVD
Second Line :
City : DEPEW
State : NY
Zip : 14043-1823
Country : US
Telephone Number : 716-901-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2008
Last Update Date : 11/30/2023

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Directions to “ MISS KIMBERLY SARAH ROSENBERG M.S.ED./CCC-SLP/L” 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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