Provider Demographics
NPI:1366818882
Name:ROSENSWEIG, TALYA C (LMSW)
Entity Type:Individual
Prefix:MS
First Name:TALYA
Middle Name:C
Last Name:ROSENSWEIG
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:TALYA
Other - Middle Name:C
Other - Last Name:PALGON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:18130 ABERDEEN RD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-1425
Mailing Address - Country:US
Mailing Address - Phone:718-813-6230
Mailing Address - Fax:
Practice Address - Street 1:24302 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:DOUGLASTON
Practice Address - State:NY
Practice Address - Zip Code:11362-1150
Practice Address - Country:US
Practice Address - Phone:718-423-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY72 0914511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical