Healthcare Provider Details

I. General information

NPI: 1366111833
Provider Name (Legal Business Name): ROSALYN HUTCHINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2021
Last Update Date: 09/08/2021
Certification Date: 09/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 LOOSE STRIFE DR
HOPEWELL JUNCTION NY
12533-7219
US

IV. Provider business mailing address

PO BOX 294
HOPEWELL JUNCTION NY
12533-0294
US

V. Phone/Fax

Practice location:
  • Phone: 845-215-8555
  • Fax: 845-447-2283
Mailing address:
  • Phone: 845-215-8555
  • Fax: 845-447-2283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberPA5021845-00
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: