Provider Demographics
NPI:1366732539
Name:ROSENBERG, LINDSAY FAYE (ATR-BC, LCAT)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:FAYE
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:ATR-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630-1374
Mailing Address - Country:US
Mailing Address - Phone:646-327-3172
Mailing Address - Fax:
Practice Address - Street 1:300 MERCER ST
Practice Address - Street 2:APT 20C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-6724
Practice Address - Country:US
Practice Address - Phone:646-327-3172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001253-1221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist