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NPI Code Detail

MEDICARE: DAVID ROSADO LCSW

MEDICARE: DAVID ROSADO 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
11041C0700XClinical Social Worker082529NY
2104100000XSocial Worker085486NY

General Provider Information

NPI Number : 1689869273
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ROSADO LCSW
Provider Business Mailing Address
First Line : 5676 RIVERDALE AVE
Second Line : SUITE 202
City : BRONX
State : NY
Zip : 10471-2138
Country : US
Telephone Number : 718-796-5300
Fax Number : 718-548-1161
Provider Business Practice Location Address
First Line : 1752 PARK AVE # 2-101B
Second Line :
City : NEW YORK
State : NY
Zip : 10035-2811
Country : US
Telephone Number : 646-686-1115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2007
Last Update Date : 09/17/2024

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Directions to “ DAVID ROSADO LCSW” Practice Location

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