Rozenberg, Ilona

Rozenberg, Ilona is an sole proprietor health care provider with primary practice located at 374 Stockholm St C/O Faculty Practie, Brooklyn NY 11237-4006. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Rozenberg, Ilona can be contacted via phone (718) 963-6551.

Contact Information

Primary practice address
374 Stockholm St C/O Faculty Practie Brooklyn NY 11237-4006
Phone: (718) 963-6551
Fax: (718) 963-6793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 008221 New York

Profile Details

NPI number 1881652261
LBN Legal business name Rozenberg, Ilona
Credentials PHYSICAN ASSISTANT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Jan 26th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881652261 NPPES
New York MEDICAID 02617334

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