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NPI Code Detail

MEDICARE: MS. ELLEN ROSENZWEIG-GOLDMAN LCSW

MEDICARE:  MS. ELLEN  ROSENZWEIG-GOLDMAN  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 WorkerPR0185221NY

General Provider Information

NPI Number : 1962551796
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELLEN ROSENZWEIG-GOLDMAN LCSW
Provider Business Mailing Address
First Line : 920 WINTON RD S
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-1634
Country : US
Telephone Number : 585-271-6477
Fax Number :
Provider Business Practice Location Address
First Line : 920 WINTON RD S
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-1634
Country : US
Telephone Number : 585-271-6477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 07/08/2007

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Directions to “ MS. ELLEN ROSENZWEIG-GOLDMAN LCSW” Practice Location

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