Individual
DHYALMA ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2942 HONE AVE, BRONX, NY 10469-4014
(917) 642-0942
(718) 794-7445
Mailing address
2942 HONE AVE, BRONX, NY 10469-4014
(917) 642-0942
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
5964
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245504935
INDIVIDUAL NPI NUMBER
NY
Enumeration date
10/24/2016
Last updated
10/24/2016
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