Provider Demographics
NPI:1538436845
Name:ROZENBERG, SVETLANA (MS)
Entity type:Individual
Prefix:MRS
First Name:SVETLANA
Middle Name:
Last Name:ROZENBERG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20019 45TH AVE
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-3013
Mailing Address - Country:US
Mailing Address - Phone:917-821-4941
Mailing Address - Fax:718-281-2623
Practice Address - Street 1:20019 45TH AVE
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-3013
Practice Address - Country:US
Practice Address - Phone:917-821-4941
Practice Address - Fax:718-281-2623
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant