Individual
DANIELLE ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BROADHOLLOW RD, MELVILLE, NY 11747-3676
(631) 385-7780
Mailing address
88 OCEAN AVE, MASSAPEQUA, NY 11758-7949
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018768
NY
Other
Enumeration date
04/02/2014
Last updated
12/05/2019
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