Individual
EDITA DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 8TH AVE, 2ND FL, NEW YORK, NY 10018-4305
(212) 787-9700
Mailing address
535 8TH AVE, 2ND FL, NEW YORK, NY 10018-4305
(212) 787-9700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
—
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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