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Individual

DR. THERESA ROSTKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D., M.S.W., M.A.

Contact information

Practice address
445 5TH AVE, APARTMENT 21B, NEW YORK, NY 10016-0109
(212) 679-6647
(212) 679-6647
Mailing address
445 5TH AVE, APARTMENT 21B, NEW YORK, NY 10016-0133
(212) 679-6647
(212) 679-6647

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
029620
NY
152W00000X
Optometrist
3610
MA
152W00000X
Optometrist
Primary
TUV005138
NY

Other

Enumeration date
10/13/2006
Last updated
03/05/2010
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