Individual
MR. BARRY ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
204 4TH ST, EAST NORTHPORT, NY 11731-3524
(631) 827-3722
(631) 266-1619
Mailing address
204 4TH ST, EAST NORTHPORT, NY 11731-3524
(631) 827-3722
(631) 266-1619
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R025254
NY
101YM0800X
Mental Health Counselor
Primary
R025254
NY
101YP2500X
Professional Counselor
R025254
NY
106H00000X
Marriage & Family Therapist
R025254
NY
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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