Provider Demographics
NPI:1801157433
Name:ROSENSKY-BADILLO, DAYNA LYNN (LMSW)
Entity type:Individual
Prefix:MRS
First Name:DAYNA
Middle Name:LYNN
Last Name:ROSENSKY-BADILLO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BLUETOP RD
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-1907
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:545 DRYDEN ST
Practice Address - Street 2:DRYDEN STREET SCHOOL
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-4408
Practice Address - Country:US
Practice Address - Phone:516-876-5039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049156-11041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool