Healthcare Provider Details

I. General information

NPI: 1518543669
Provider Name (Legal Business Name): ROSSY ALEJANDRA GARCIA CEPEDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROSSY GARCIA

II. Dates (important events)

Enumeration Date: 03/19/2021
Last Update Date: 03/19/2021
Certification Date: 03/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 W 38TH ST FL 6
NEW YORK NY
10018-9537
US

IV. Provider business mailing address

525 FDR DR APT 11A
NEW YORK NY
10002-2038
US

V. Phone/Fax

Practice location:
  • Phone: 212-695-4564
  • Fax:
Mailing address:
  • Phone: 917-392-2651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: