MEDICARE: ANNETA ROZENBERG

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1073833158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNETA ROZENBERG

Provider Business Mailing Address
First Line	:	2469 65TH ST
Second Line	:	APT. 4A
City	:	BROOKLYN
State	:	NY
Zip	:	11204-4170
Country	:	US
Telephone Number	:	718-627-2702
Fax Number	:

Provider Business Practice Location Address
First Line	:	2469 65TH ST
Second Line	:	APT. 4A
City	:	BROOKLYN
State	:	NY
Zip	:	11204-4170
Country	:	US
Telephone Number	:	718-627-2702
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2010
Last Update Date	:	06/11/2010

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Directions to “ ANNETA ROZENBERG ” Practice Location

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