Individual
JOSE ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC, MAC
Contact information
Practice address
2015 MADISON AVE, NEW YORK, NY 10035-1015
(646) 759-4673
Mailing address
2015 MADISON AVE, NEW YORK, NY 10035-1015
(646) 759-4673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7643
SUBSTANCE USE
NY
Enumeration date
06/02/2021
Last updated
06/02/2021
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