Individual
RACHEL ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 CENTRAL AVE, CEDARHURST, NY 11516-2301
(516) 303-6327
Mailing address
1122 NEILSON ST, FAR ROCKAWAY, NY 11691-4720
(516) 303-6327
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
024877
NY
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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