NPI Code Details Logo

NPI 1770415556

NPI 1770415556 : ABIGAEL D ROSENBERG : NEW CITY, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1770415556
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ABIGAEL D ROSENBERG
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/03/2026
-----------------------------------------------------
    Last Update Date     |    06/03/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    16 RIDGEFIELD RD 
-----------------------------------------------------
    City                 |    NEW CITY
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10956-5400
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    845-682-0527
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    16 RIDGEFIELD RD 
-----------------------------------------------------
    City                 |    NEW CITY
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10956-5400
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    845-682-0527
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    053301-01
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.