Individual
STEVEN J ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2608 BURRO LN, EAST MEADOW, NY 11554-5405
(516) 783-8404
Mailing address
2608 BURRO LN, EAST MEADOW, NY 11554-5405
(516) 783-8404
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
PRO15795-1
NY
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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