Individual
DR. CHARLES M ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
98 RIVERSIDE DR, SUITE 1C, NEW YORK, NY 10024-5323
(212) 595-4674
(212) 724-1442
Mailing address
98 RIVERSIDE DR, SUITE 1C, NEW YORK, NY 10024-5323
(212) 595-4674
(212) 724-1442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR019846-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02333246
—
NY
01
—
11237560
CAQH
—
Enumeration date
09/20/2006
Last updated
10/08/2010
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