Healthcare Provider Details

I. General information

NPI: 1639094923
Provider Name (Legal Business Name): ROANY MOLINA LCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 W 60TH ST
NEW YORK NY
10023
US

IV. Provider business mailing address

442 S OYSTER BAY RD # 1006
HICKSVILLE NY
11801-3515
US

V. Phone/Fax

Practice location:
  • Phone: 929-325-0133
  • Fax:
Mailing address:
  • Phone: 929-325-0133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ROANY ISABEL MOLINA
Title or Position: OWNER
Credential: LCSW
Phone: 929-325-0133