Individual
CELESTE ILENE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
172 W 130TH ST OFC 1, NEW YORK, NY 10027-2030
(917) 806-1978
(201) 595-0313
Mailing address
1007 SMITH MANOR BLVD, WEST ORANGE, NJ 07052-4227
(917) 806-1978
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
10/29/2020
Last updated
09/11/2025
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