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Individual
DR. PETER JOHN ROSAN
Active
Individual
DR. PETER JOHN ROSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6780588
NY
103TC2200X
Clinical Child & Adolescent Psychologist
6780588
NY
103TF0000X
Family Psychologist
6780588
NY
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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