Provider Demographics
NPI:1003160417
Name:ROSEN, FAIGIE (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:FAIGIE
Middle Name:
Last Name:ROSEN
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 82ND ST
Mailing Address - Street 2:APT. #3E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-2546
Mailing Address - Country:US
Mailing Address - Phone:718-259-0395
Mailing Address - Fax:
Practice Address - Street 1:1051 59TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4825
Practice Address - Country:US
Practice Address - Phone:718-437-5774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist