Provider Demographics
NPI:1508199183
Name:ROSARIO, YOLANDA
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:ROSARIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 TERRACE VIEW AVE
Mailing Address - Street 2:4D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-5011
Mailing Address - Country:US
Mailing Address - Phone:347-371-7449
Mailing Address - Fax:
Practice Address - Street 1:135 TERRACE VIEW AVE
Practice Address - Street 2:4D
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-5011
Practice Address - Country:US
Practice Address - Phone:347-371-7449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007798235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist