Provider Demographics
NPI:1477894723
Name:ROSEE, MARILYN ANN (OT)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:ANN
Last Name:ROSEE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MRS
Other - First Name:MARILYN
Other - Middle Name:
Other - Last Name:LEVENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:315 E 68TH ST
Mailing Address - Street 2:APT 5RS
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-5692
Mailing Address - Country:US
Mailing Address - Phone:212-879-0816
Mailing Address - Fax:646-218-3760
Practice Address - Street 1:315 E 68TH ST
Practice Address - Street 2:APT 5RS
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-5692
Practice Address - Country:US
Practice Address - Phone:212-879-0816
Practice Address - Fax:646-218-3760
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002244-1225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation