Individual ProviderSandra RosengartenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address9 Pine Dr, Port Washington, NY 11050-3403(516) 883-0528PECOS EnrollmentBased on the most recent information from CMS, provider Sandra Rosengarten is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1376527101Provider TypeIndividualFull NameRosengarten, SandraTitleMrs.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date12/5/2005Last Updated8/5/2010Contact InformationPractice LocationPractice Address9 Pine Dr, Port Washington, NY 11050-3403Phone(516) 883-0528Fax(516) 883-0528Mailing LocationMailing Address9 Pine Dr, Port Washington, NY 11050-3403Phone(516) 883-0528Fax(516) 883-0528Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseR043043New YorkProvider IdentifiersIDDescriptionIssuerID2226111DescriptionOtherIssuerCIGNANew YorkIDNB938DescriptionOtherIssuerUBH,AETNANew YorkID7480995DescriptionOtherIssuerGHINew YorkIDNB938DescriptionOtherIssuerEMPIRE/MAGELLANNew YorkID254994DescriptionOtherIssuerMHNNew YorkIDP1099554DescriptionOtherIssuerOXFORDNew York