Individual
ALICE M ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED CLINICAL SO
Contact information
Practice address
4511 HARLEM ROAD, SUITE 14, SNYDER, NY 14226
(716) 833-2299
Mailing address
249 CROSBY BOULEVARD, BUFFALO, NY 14226
(716) 835-2955
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R023407
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000510980001
BLUE CR SHIELD OF WNY
—
01
—
6207982
UNIVERA AND INDEPENDENT H
—
Enumeration date
11/22/2006
Last updated
06/20/2012
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