Healthcare Provider Details

I. General information

NPI: 1205761004
Provider Name (Legal Business Name): ROSE MIDWIFERY WOMEN'S HEALTH P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10849 UNION TPKE
FOREST HILLS NY
11375-6823
US

IV. Provider business mailing address

10849 UNION TPKE
FOREST HILLS NY
11375-6823
US

V. Phone/Fax

Practice location:
  • Phone: 718-880-2942
  • Fax: 260-235-3581
Mailing address:
  • Phone: 718-880-2942
  • Fax: 260-235-3581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: ROBERTO RAUDA
Title or Position: CNM
Credential: CNM
Phone: 718-880-2942