Provider Demographics
NPI:1033577473
Name:ROSADO, WILLIAM (PHARMD,MS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:ROSADO
Suffix:
Gender:M
Credentials:PHARMD,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 RIALTO RD
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-4338
Mailing Address - Country:US
Mailing Address - Phone:787-405-1660
Mailing Address - Fax:
Practice Address - Street 1:2182 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6612
Practice Address - Country:US
Practice Address - Phone:212-799-0102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-30
Last Update Date:2016-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY060247183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist