Individual ProviderMarisa RozenblatNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address85 West Burnside Ave, Bronx, NY 10453(718) 584-4683PECOS EnrollmentBased on the most recent information from CMS, provider Marisa Rozenblat does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1912285156Provider TypeIndividualFull NameRozenblat, MarisaCredentialFNP-BCGenderFemaleSole ProprietorNoEnumeration Date7/21/2011Last Updated1/29/2015Contact InformationPractice LocationPractice Address85 West Burnside Ave, Bronx, NY 10453Phone(718) 584-4683FaxUnlisted FaxMailing LocationMailing Address85 W Burnside Ave, Bronx, NY 10453-4015Phone(718) 584-4683FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense336648New York