MEDICARE: ROSENA AUYEUNG

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	103K00000X	Behavior Analyst	003932	NY

General Provider Information

NPI Number	:	1376429332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSENA AUYEUNG

Provider Business Mailing Address
First Line	:	1400 OLD COUNTRY RD STE C103N
Second Line	:
City	:	WESTBURY
State	:	NY
Zip	:	11590-5156
Country	:	US
Telephone Number	:	516-509-4658
Fax Number	:

Provider Business Practice Location Address
First Line	:	2341 NEW HYDE PARK RD
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1212
Country	:	US
Telephone Number	:	516-806-5710
Fax Number	:

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

Provider Enumeration Date	:	08/14/2025
Last Update Date	:	08/14/2025

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Directions to “ ROSENA AUYEUNG ” Practice Location

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