Provider Demographics
NPI:1023690567
Name:SOBOCINSKI, ROSA A (DPT)
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:A
Last Name:SOBOCINSKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ROSA
Other - Middle Name:
Other - Last Name:WINSLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1311 MAMARONECK AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-5224
Mailing Address - Country:US
Mailing Address - Phone:914-294-4050
Mailing Address - Fax:
Practice Address - Street 1:23204 COLUMBUS RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NJ
Practice Address - Zip Code:08022-1904
Practice Address - Country:US
Practice Address - Phone:609-324-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-23
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT029061225100000X
NJ40QA02125500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist