Organization
WILMA G ROSEN, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILMA G ROSEN PH.D. (PRESIDENT)
(718) 548-0881
Entity
Organization
Contact information
Practice address
1120 PARK AVE, NEW YORK, NY 10128-1242
(212) 289-6406
Mailing address
2711 HENRY HUDSON PKWY, 3F, BRONX, NY 10463-4713
(718) 548-0881
(718) 548-0881
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
006745-2
NY
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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