Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 400482 | NY |
NPI | 1013152651 |
---|---|
Provider Name | Monica Rosenbaum |
First Address | Woodbury, NY 11797-3405 |
Second Address | Woodbury, NY 11797-3405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2008 |
Last Update Date | 04/02/2016 |