MEDICARE: MRS. HILLARY ROSENBERG

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	014865	NY

General Provider Information

NPI Number	:	1295980621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HILLARY ROSENBERG

Provider Business Mailing Address
First Line	:	14 SOUNDVIEW AVE
Second Line	:	APT. 9
City	:	WHITE PLAINS
State	:	NY
Zip	:	10606-3327
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 SOUNDVIEW AVE
Second Line	:	APT. 9
City	:	WHITE PLAINS
State	:	NY
Zip	:	10606-3327
Country	:	US
Telephone Number	:	914-202-7719
Fax Number	:

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

Provider Enumeration Date	:	11/26/2008
Last Update Date	:	11/26/2008

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Directions to “ MRS. HILLARY ROSENBERG ” Practice Location

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