Individual
LAUREN ROTKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
585 STEWART AVE, GARDEN CITY, NY 11530-4783
(516) 280-7285
Mailing address
11 BEACON HILL RD, PORT WASHINGTON, NY 11050-3027
(516) 944-3090
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0563218
NY
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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