Individual
HOLLY ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1 PARK AVE, NEW YORK, NY 10016-5802
(631) 617-1363
Mailing address
1 PARK AVE, NEW YORK, NY 10016-5802
(929) 573-0023
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
08/26/2024
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