Individual
DR. MATTHEW ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
873 ROUTE 45, SUITE 204A, NEW CITY, NY 10956-1116
(845) 213-8761
(845) 459-6230
Mailing address
873 ROUTE 45, SUITE 204A, NEW CITY, NY 10956-1116
(845) 213-8761
(845) 459-6230
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8040
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00954018
—
NY
Enumeration date
05/08/2006
Last updated
08/12/2013
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