MEDICARE: MS. ROSALINA ERNST LCSW

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	1041C0700X	Clinical Social Worker	034353	NY

General Provider Information

NPI Number	:	1447498357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSALINA ERNST LCSW

Provider Business Mailing Address
First Line	:	474 W 238TH ST
Second Line	:	SUITE 5E
City	:	BRONX
State	:	NY
Zip	:	10463-2026
Country	:	US
Telephone Number	:	347-275-2133
Fax Number	:

Provider Business Practice Location Address
First Line	:	474 W 238TH ST
Second Line	:	SUITE 5E
City	:	BRONX
State	:	NY
Zip	:	10463-2026
Country	:	US
Telephone Number	:	347-275-2133
Fax Number	:

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

Provider Enumeration Date	:	01/30/2009
Last Update Date	:	01/30/2009

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