Healthcare Provider Details

I. General information

NPI: 1851200513
Provider Name (Legal Business Name): NICHOLAS ROSICA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3380 MONROE AVE STE 206
ROCHESTER NY
14618-4726
US

IV. Provider business mailing address

210 GOLF AVE
PITTSFORD NY
14534-1605
US

V. Phone/Fax

Practice location:
  • Phone: 585-206-8958
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: