Phyllis Rosenberg, COTA is a
Occupational Therapist based in Grand Gorge, New York. Phyllis Rosenberg is licensed to practice in New York (license number 003693-1) and her current practice location is
2020 Jump Brook Road, Grand Gorge, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 588-6291.
NPI number for Phyllis Rosenberg is 1508163585 and her current mailing address is Po Box 382, 2020 Jump Brook Road, Grand Gorge, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508163585.
Healthcare Provider's Profile
| Full Name | Phyllis Rosenberg |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 2020 Jump Brook Road, Grand Gorge, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508163585
- Provider Enumeration Date: 02/28/2011
- Last Update Date: 02/28/2011
Medical Identifiers
Medical identifiers for Phyllis Rosenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508163585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 003693-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phyllis Rosenberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Phyllis Rosenberg, COTA
Po Box 382, 2020 Jump Brook Road,
Grand Gorge, NY 12434
Ph: (607) 588-6291 | Phyllis Rosenberg, COTA
2020 Jump Brook Road,
Grand Gorge, NY 12434
Ph: (607) 588-6291 |
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