Provider Demographics
NPI:1982741518
Name:FOSTER, ROSEMARIE PEREZ (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARIE
Middle Name:PEREZ
Last Name:FOSTER
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 1:155 E 29TH ST
Mailing Address - Street 2:31B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8173
Mailing Address - Country:US
Mailing Address - Phone:646-414-1385
Mailing Address - Fax:
Practice Address - Street 1:155 E 29TH ST
Practice Address - Street 2:31B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8173
Practice Address - Country:US
Practice Address - Phone:646-414-1385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7959103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical