Provider Demographics
NPI:1114714599
Name:ROSENWASSER, LEAH
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:ROSENWASSER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1427 SHEPHERD ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5409
Mailing Address - Country:US
Mailing Address - Phone:540-908-7629
Mailing Address - Fax:
Practice Address - Street 1:1427 SHEPHERD ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5409
Practice Address - Country:US
Practice Address - Phone:540-908-7629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health