Provider Demographics
NPI:1073881611
Name:ROZENBERG'S FIRST STEPS
Entity Type:Organization
Organization Name:ROZENBERG'S FIRST STEPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SVETLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROZENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:917-821-4941
Mailing Address - Street 1:20019 45TH AVE
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-3013
Mailing Address - Country:US
Mailing Address - Phone:917-821-4941
Mailing Address - Fax:
Practice Address - Street 1:20019 45TH AVE
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-3013
Practice Address - Country:US
Practice Address - Phone:917-821-4941
Practice Address - Fax:718-282-2623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-10
Last Update Date:2011-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty