MEDICARE: ARON ROSENBERG SLP, PLLC

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	235Z00000X	Speech-Language Pathologist	013515	NY

General Provider Information

NPI Number	:	1295047702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARON ROSENBERG SLP, PLLC

Provider Business Mailing Address
First Line	:	1472 PRESIDENT ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213-4435
Country	:	US
Telephone Number	:	212-203-1681
Fax Number	:	718-504-5090

Provider Business Practice Location Address
First Line	:	1472 PRESIDENT ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213-4435
Country	:	US
Telephone Number	:	212-203-1681
Fax Number	:	718-504-5090

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. ARON J ROSENBERG
Credential	:	SLP CCC
Telephone Number	:	212-203-1681

Provider Enumeration Date	:	07/13/2010
Last Update Date	:	07/13/2010

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