Individual
ANDREA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6 HEALTHY WAY, ELLENVILLE, NY 12428-5612
(845) 647-4500
Mailing address
6 HEALTHY WAY, ELLENVILLE, NY 12428-5612
(845) 647-4500
(845) 647-7632
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
22 592226
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
40 401885
NY
Other
Enumeration date
06/17/2015
Last updated
03/23/2016
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