Provider Demographics
NPI:1528302296
Name:ROTHSCHILD, DEENA
Entity type:Individual
Prefix:
First Name:DEENA
Middle Name:
Last Name:ROTHSCHILD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:854 E 26TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-2824
Mailing Address - Country:US
Mailing Address - Phone:718-928-5610
Mailing Address - Fax:
Practice Address - Street 1:854 E 26TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-2824
Practice Address - Country:US
Practice Address - Phone:718-928-5610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator