Individual
ANGELY ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1475 PARK AVE, NEW YORK, NY 10029-3810
(212) 426-3400
Mailing address
4707 BRONX BLVD, BRONX, NY 10470-1001
(646) 462-5837
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/16/2024
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