Healthcare Provider Details

I. General information

NPI: 1467386367
Provider Name (Legal Business Name): AIDA E ROSADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 UTICA AVE
BROOKLYN NY
11213-3931
US

IV. Provider business mailing address

4646 N CONGRESS AVE APT G101
WEST PALM BEACH FL
33407-3349
US

V. Phone/Fax

Practice location:
  • Phone: 347-201-2767
  • Fax:
Mailing address:
  • Phone: 347-445-2280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: