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NPI Code Detail

MEDICARE: BENJAMIN ROSEN LMSW

MEDICARE: BENJAMIN ROSEN LMSW
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 Worker101682NY

General Provider Information

NPI Number : 1871227108
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN ROSEN LMSW
Provider Business Mailing Address
First Line : 330 W 56TH ST APT 4E
Second Line :
City : NEW YORK
State : NY
Zip : 10019-4201
Country : US
Telephone Number : 432-853-9489
Fax Number :
Provider Business Practice Location Address
First Line : 169 W 133RD ST
Second Line :
City : NEW YORK
State : NY
Zip : 10030-3301
Country : US
Telephone Number : 646-762-4950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2022
Last Update Date : 12/06/2025

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