Individual
ROSANA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BC-DMT, L-CAT
Contact information
Practice address
11835 QUEENS BLVD, FOREST HILLS, NY 11375-7200
(718) 651-7770
Mailing address
11835 QUEENS BLVD, FOREST HILLS, NY 11375-7200
(718) 651-7770
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
001970-01
NY
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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