Provider Demographics
NPI:1881917573
Name:ROSENBERG, ARON J (SLP)
Entity type:Individual
Prefix:MR
First Name:ARON
Middle Name:J
Last Name:ROSENBERG
Suffix:
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1472 PRESIDENT ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-4435
Mailing Address - Country:US
Mailing Address - Phone:212-203-1681
Mailing Address - Fax:718-504-5090
Practice Address - Street 1:1472 PRESIDENT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-4435
Practice Address - Country:US
Practice Address - Phone:212-203-1681
Practice Address - Fax:718-504-5090
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013515235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist