Healthcare Provider Details

I. General information

NPI: 1366354367
Provider Name (Legal Business Name): ALISON JILL ROSOW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14015B SANFORD AVE FL 2
FLUSHING NY
11355-2557
US

IV. Provider business mailing address

3505 72ND ST APT 2B
JACKSON HEIGHTS NY
11372-4001
US

V. Phone/Fax

Practice location:
  • Phone: 718-358-8288
  • Fax:
Mailing address:
  • Phone: 917-763-1624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number072742-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: