MEDICARE: MS. RACHEL F ROSIN LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	004802	NY

General Provider Information

NPI Number	:	1104110790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RACHEL F ROSIN LMHC

Provider Business Mailing Address
First Line	:	100 CHURCH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10007-2601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CHURCH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10007-2601
Country	:	US
Telephone Number	:	646-428-2332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2011
Last Update Date	:	10/16/2017

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