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NPI Code Detail

MEDICARE: MRS. EUGENIA S ROZENBERG LCSW

MEDICARE: MRS. EUGENIA S ROZENBERG LCSW
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
11041C0700XClinical Social WorkerR055132-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790871945
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EUGENIA S ROZENBERG LCSW
Provider Business Mailing Address
First Line : 1610 AVENUE P
Second Line : APP. 3-O
City : BROOKLYN
State : NY
Zip : 11229-1153
Country : US
Telephone Number : 718-336-5066
Fax Number : 718-336-5066
Provider Business Practice Location Address
First Line : 2020 CONEY ISLAND AVE
Second Line : MIDBROOKLYN CLINIC
City : BROOKLYN
State : NY
Zip : 11223-2329
Country : US
Telephone Number : 718-676-4221
Fax Number : 718-676-4216
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 07/08/2007

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