Provider Demographics
NPI:1841468295
Name:ROSENSTOCK, EVE (MSN,CNM, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:EVE
Middle Name:
Last Name:ROSENSTOCK
Suffix:
Gender:F
Credentials:MSN,CNM, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 CAREFREE LN
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-2403
Mailing Address - Country:US
Mailing Address - Phone:845-323-8076
Mailing Address - Fax:
Practice Address - Street 1:13 CAREFREE LN
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-2403
Practice Address - Country:US
Practice Address - Phone:845-323-8076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY574132-1163W00000X
NY0020008176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No163W00000XNursing Service ProvidersRegistered Nurse