Individual
MRS. BETTY J ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
2215 43RD AVE, LONG ISLAND CITY, NY 11101-5018
(718) 389-5100
(718) 752-4809
Mailing address
2215 43RD AVE, LONG ISLAND CITY, NY 11101-5018
(718) 389-5100
(718) 752-4809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
052649
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03676033
—
NY
Enumeration date
08/14/2008
Last updated
03/24/2015
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