Individual
DR. LOIS M ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10 1ST ST, BROOKLYN, NY 11231-5002
(718) 757-2169
Mailing address
10 1ST ST, BROOKLYN, NY 11231-5002
(718) 757-2169
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016615-1
NY
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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