Individual
CAROLINE R ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
7250 GRAND AVE, MASPETH, NY 11378-1533
(718) 478-8465
Mailing address
7250 GRAND AVE, MASPETH, NY 11378-1533
(718) 478-8465
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019166-1
NY
Other
Enumeration date
06/30/2015
Last updated
12/08/2016
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