Provider Demographics
NPI:1649057282
Name:M ROSENBERG, ISSER ZEV (MS , SLP)
Entity type:Individual
Prefix:
First Name:ISSER
Middle Name:ZEV
Last Name:M ROSENBERG
Suffix:
Gender:M
Credentials:MS , SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 KATHERINE AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1230
Mailing Address - Country:US
Mailing Address - Phone:347-304-1521
Mailing Address - Fax:
Practice Address - Street 1:1 DINEV RD
Practice Address - Street 2:
Practice Address - City:KIRYAS JOEL
Practice Address - State:NY
Practice Address - Zip Code:10950-6487
Practice Address - Country:US
Practice Address - Phone:347-304-1521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-08
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1748079231235Z00000X
NJ41YS01332600235Z00000X
NY035006235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist