Provider Demographics
NPI:1801968672
Name:LINSALATO, ROSAURA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ROSAURA
Middle Name:
Last Name:LINSALATO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 GERMONDS ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-1319
Mailing Address - Country:US
Mailing Address - Phone:845-623-5122
Mailing Address - Fax:845-623-0098
Practice Address - Street 1:259 N MIDDLETOWN ROAD
Practice Address - Street 2:STE 3
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954
Practice Address - Country:US
Practice Address - Phone:845-623-5122
Practice Address - Fax:845-623-0098
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0577651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
N310L1Medicare ID - Type Unspecified