Provider Demographics
NPI:1336949387
Name:ROSENBERG, YEHUDA ARYEH LEIB
Entity type:Individual
Prefix:
First Name:YEHUDA
Middle Name:ARYEH LEIB
Last Name:ROSENBERG
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 1:1472 PRESIDENT ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-4435
Mailing Address - Country:US
Mailing Address - Phone:929-366-8315
Mailing Address - Fax:
Practice Address - Street 1:1472 PRESIDENT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-4435
Practice Address - Country:US
Practice Address - Phone:929-366-8315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program