Individual
DR. JANINE WEISS ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
132 HARBOR LN, MASSAPEQUA PARK, NY 11762-4003
(516) 799-1820
(516) 799-1820
Mailing address
132 HARBOR LN, MASSAPEQUA PARK, NY 11762-4003
(516) 799-1820
(516) 799-1820
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8038-1
NY
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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