Provider Demographics
NPI:1972864957
Name:HALEM, ROSANNA (MS)
Entity Type:Individual
Prefix:MRS
First Name:ROSANNA
Middle Name:
Last Name:HALEM
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 1:89 FOXWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-1131
Mailing Address - Country:US
Mailing Address - Phone:914-356-5103
Mailing Address - Fax:
Practice Address - Street 1:89 FOXWOOD CIR
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1131
Practice Address - Country:US
Practice Address - Phone:914-356-5103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist