Provider Demographics
NPI:1881830867
Name:PIATEK, ROSALIE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ROSALIE
Middle Name:
Last Name:PIATEK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 STONY POINT RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-1948
Mailing Address - Country:US
Mailing Address - Phone:585-594-2927
Mailing Address - Fax:585-594-2927
Practice Address - Street 1:324 STONY POINT RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-1948
Practice Address - Country:US
Practice Address - Phone:585-594-2927
Practice Address - Fax:585-594-2927
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-23
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002578-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist