Provider Demographics
NPI:1265582514
Name:ROSSI, ROSEMARIE R (MS LCAT)
Entity type:Individual
Prefix:MS
First Name:ROSEMARIE
Middle Name:R
Last Name:ROSSI
Suffix:
Gender:F
Credentials:MS LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 DAFFODIL CT
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-5900
Mailing Address - Country:US
Mailing Address - Phone:845-225-1976
Mailing Address - Fax:
Practice Address - Street 1:95 GLENEIDA AVE
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-1222
Practice Address - Country:US
Practice Address - Phone:845-494-7602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000220221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist