Provider Demographics
NPI:1376890509
Name:ROSENDA, MARIA (MSED)
Entity Type:Individual
Prefix:PROF
First Name:MARIA
Middle Name:
Last Name:ROSENDA
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 SAGAMORE ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-3221
Mailing Address - Country:US
Mailing Address - Phone:917-804-6191
Mailing Address - Fax:347-621-0500
Practice Address - Street 1:701 SAGAMORE ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-3221
Practice Address - Country:US
Practice Address - Phone:917-804-6191
Practice Address - Fax:347-621-0500
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist