Provider Demographics
NPI:1760678502
Name:ROSENFELD, DAVID S (CSWR)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:S
Last Name:ROSENFELD
Suffix:
Gender:M
Credentials:CSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WEBSTER AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-1546
Mailing Address - Country:US
Mailing Address - Phone:845-294-4241
Mailing Address - Fax:
Practice Address - Street 1:11 WEBSTER AVE STE 4
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-1546
Practice Address - Country:US
Practice Address - Phone:845-294-4241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0469271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical