Individual
BETH ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 PINEWOOD DR, COMMACK, NY 11725-5612
(631) 499-1237
Mailing address
29 PINEWOOD DR, COMMACK, NY 11725-5612
(631) 499-1237
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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