Individual
DR. CONSTANCE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
600 3RD AVE FL 2, NEW YORK, NY 10016-1919
(347) 470-3146
Mailing address
600 3RD AVE FL 2, NEW YORK, NY 10016-1919
(347) 470-3146
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
026647
NY
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/01/2017
Last updated
08/28/2024
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