Provider Demographics
NPI:1649723271
Name:ROSENBERG, BATSHEVA L (MS ED)
Entity type:Individual
Prefix:MRS
First Name:BATSHEVA
Middle Name:L
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1389 E 17TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6010
Mailing Address - Country:US
Mailing Address - Phone:718-490-0727
Mailing Address - Fax:
Practice Address - Street 1:1389 E 17TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6010
Practice Address - Country:US
Practice Address - Phone:718-490-0727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-01
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1135122174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist