Individual
ROSA FERMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 FULTON AVE, HEMPSTEAD, NY 11550-3923
(516) 538-2613
(516) 538-0772
Mailing address
344 FULTON AVE, HEMPSTEAD, NY 11550-3923
(516) 538-2613
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31242
CASAC
NY
Enumeration date
06/05/2015
Last updated
09/20/2016
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