Individual
CANDY NURIELA DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
493 NOSTRAND AVE, BROOKLYN, NY 11216-5117
(516) 202-5215
Mailing address
63 VAN SICLEN AVE, BROOKLYN, NY 11207-2601
(917) 774-3480
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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