Provider Demographics
NPI:1134958150
Name:KURTZ, ROSEMARIE (PHD)
Entity type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:
Last Name:KURTZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 E 42ND ST FL 46
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10165-0043
Mailing Address - Country:US
Mailing Address - Phone:347-464-8032
Mailing Address - Fax:
Practice Address - Street 1:60 E 42ND ST FL 46
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10165-0043
Practice Address - Country:US
Practice Address - Phone:347-463-7473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026264103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist