Provider Demographics
NPI:1285843177
Name:ROSENBERG, SARAH HARDESTY (PHD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:HARDESTY
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:ANNE
Other - Last Name:HARDESTY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:80 E 11TH ST
Mailing Address - Street 2:SUITE 518
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-6811
Mailing Address - Country:US
Mailing Address - Phone:212-473-7466
Mailing Address - Fax:212-473-7466
Practice Address - Street 1:80 E 11TH ST
Practice Address - Street 2:SUITE 518
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-6811
Practice Address - Country:US
Practice Address - Phone:212-473-7466
Practice Address - Fax:212-473-7466
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007509103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist