Healthcare Provider Details

I. General information

NPI: 1053007880
Provider Name (Legal Business Name): ISABELLA ROSATONE M.S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2023
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 MADISON AVE
NEW YORK NY
10016-6711
US

IV. Provider business mailing address

4322 QUEENS ST APT 601
LONG ISLAND CITY NY
11101-7926
US

V. Phone/Fax

Practice location:
  • Phone: 929-520-0371
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP116155
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: