Provider Demographics
NPI:1427259803
Name:ROSENBLATT, STEVEN M (LMSW)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:M
Last Name:ROSENBLATT
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1276 FULTON AVE.
Mailing Address - Street 2:SPECIALTY PRIMARY CARE/MMTP
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456
Mailing Address - Country:US
Mailing Address - Phone:718-503-7788
Mailing Address - Fax:718-503-7751
Practice Address - Street 1:1276 FULTON AVE
Practice Address - Street 2:BRONX LEBANON HOSPITAL CENTER / MMTP PRIMARY CARE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-3402
Practice Address - Country:US
Practice Address - Phone:718-503-7788
Practice Address - Fax:718-503-7751
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071936-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical