Individual
MIRIAM ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 W 114TH ST FL 2, NEW YORK, NY 10025-1710
(516) 965-5349
Mailing address
245 E 80TH ST APT 9D, NEW YORK, NY 10075-0510
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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