Individual
RAFAEL ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
2457 FENTON AVE, BRONX, NY 10469
(718) 559-9570
Mailing address
2457 FENTON AVE, BRONX, NY 10469
(718) 559-9570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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