| Doctor Name: | MONICA ROSENBAUM |
| NPI Number: | 1013152651 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 400482 |
| Business Practice Address: | 18 Nome Dr Woodbury, NY - 117973405 |
| Business Phone Number: | 5169371045 |
| Business Fax Number: | |
| Mailing Address: | 18 Nome Dr, WOODBURY |
| State: | NY |
| Postal Code: | 117973405 |
| Phone Number: | 5169371045 |
| Fax Number: | |
| NPI Enumeration Date: | 12/11/2008 |
| NPI Last Update Date: | 02/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 400482 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |