Provider Demographics
NPI:1821226689
Name:ROSIN, AMARIT S (PSYD)
Entity Type:Individual
Prefix:DR
First Name:AMARIT
Middle Name:S
Last Name:ROSIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 W LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-2084
Mailing Address - Country:US
Mailing Address - Phone:518-269-8227
Mailing Address - Fax:
Practice Address - Street 1:524 W LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-2084
Practice Address - Country:US
Practice Address - Phone:518-269-8224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017790-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical