Provider Demographics
NPI:1568084374
Name:ROZON, MARIA (MA)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:ROZON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14424 37TH AVE APT 4G
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5912
Mailing Address - Country:US
Mailing Address - Phone:646-597-3815
Mailing Address - Fax:
Practice Address - Street 1:155 WHITE PLAINS RD STE 200
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5523
Practice Address - Country:US
Practice Address - Phone:646-317-3601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist