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Organization

ROCKWOOD PARTNERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASSANDRA E HENDERSON MD (OWNER)
(917) 620-5230
Entity
Organization

Contact information

Practice address
225 E 57TH ST, NEW YORK, NY 10022-2822
(917) 740-2311
Mailing address
154 COVE ST, MASSAPEQUA, NY 11758-6813
(631) 235-7727
(646) 365-3136

Taxonomy

Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00965559
NY
01
1112891
DPRP ASSIGNED ORGANIZATION CODE
NY
01
157094
MEDICAL LICENSE
NY
01
1831280411
NPI
NY
Enumeration date
06/02/2022
Last updated
03/07/2023
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