Individual
MRS. LILIANA ROSADO-GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 FLORIDA AVE, STATEN ISLAND, NY 10305-4618
(917) 957-4169
Mailing address
16 FLORIDA AVE, STATEN ISLAND, NY 10305-4618
(917) 957-4169
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13724194
UMR
NY
Enumeration date
07/02/2012
Last updated
07/02/2012
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