Healthcare Provider Details

I. General information

NPI: 1205200664
Provider Name (Legal Business Name): ROSA MORABITO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2015
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6269 60TH RD
MASPETH NY
11378-3525
US

IV. Provider business mailing address

6269 60TH RD
MASPETH NY
11378-3525
US

V. Phone/Fax

Practice location:
  • Phone: 917-335-7951
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number002160
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: