Provider Demographics
NPI:1578819017
Name:ROJAS, GIZZELLE (MS)
Entity Type:Individual
Prefix:MS
First Name:GIZZELLE
Middle Name:
Last Name:ROJAS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 S HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-6104
Mailing Address - Country:US
Mailing Address - Phone:914-373-4814
Mailing Address - Fax:914-373-4814
Practice Address - Street 1:322 CEDARWOOD HALL
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:914-497-7747
Practice Address - Fax:914-373-4814
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist