Individual
DR. JENNA A ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
411 W 114TH ST, NEW YORK, NY 10025-1710
(646) 334-9058
Mailing address
1090 AMSTERDAM AVE, NEW YORK, NY 10025-1737
(646) 334-9058
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NY
Other
Enumeration date
09/11/2023
Last updated
09/05/2024
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