Provider Demographics
NPI:1609323633
Name:CHILDS, ROSALYN MERITA (ASSISTANT PRINCIPAL)
Entity Type:Individual
Prefix:MS
First Name:ROSALYN
Middle Name:MERITA
Last Name:CHILDS
Suffix:
Gender:F
Credentials:ASSISTANT PRINCIPAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4003
Mailing Address - Country:US
Mailing Address - Phone:646-281-9323
Mailing Address - Fax:
Practice Address - Street 1:325 LOCUST ST
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4003
Practice Address - Country:US
Practice Address - Phone:646-281-9323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist