Provider Demographics
NPI:1568766707
Name:ROST, CAROL
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:ROST
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 1:7 LEXINGTON AVE
Mailing Address - Street 2:APT 1 H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5517
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7 LEXINGTON AVE
Practice Address - Street 2:APT 1 H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5517
Practice Address - Country:US
Practice Address - Phone:212-260-4703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF401252-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health