Provider Demographics
NPI:1811377302
Name:OLEAGA, ROSEMARY
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:OLEAGA
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 1:364 E 151ST ST
Mailing Address - Street 2:BASEMENT
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-2603
Mailing Address - Country:US
Mailing Address - Phone:917-485-7360
Mailing Address - Fax:718-742-4579
Practice Address - Street 1:364 E 151ST ST
Practice Address - Street 2:BASEMENT
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-2603
Practice Address - Country:US
Practice Address - Phone:917-485-7360
Practice Address - Fax:718-742-4579
Is Sole Proprietor?:No
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker