Provider Demographics
NPI:1497632111
Name:ROSEN-CAROLE, ADAM
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:ROSEN-CAROLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 DORCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14610-1317
Mailing Address - Country:US
Mailing Address - Phone:585-754-0400
Mailing Address - Fax:
Practice Address - Street 1:100 ALLENS CREEK RD STE G
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3303
Practice Address - Country:US
Practice Address - Phone:585-754-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP137394101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health