Healthcare Provider Details

I. General information

NPI: 1376413294
Provider Name (Legal Business Name): ROZETTE MCLEAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROZETTE CHAPMAN DR

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1074 SUMMIT AVE APT 4D
BRONX NY
10452-4615
US

IV. Provider business mailing address

1074 SUMMIT AVE APT 4D
BRONX NY
10452-4615
US

V. Phone/Fax

Practice location:
  • Phone: 347-455-8489
  • Fax:
Mailing address:
  • Phone: 347-455-8489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: