MEDICARE: ISABELLA ROSATONE M.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	P116155	NY

General Provider Information

NPI Number	:	1053007880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABELLA ROSATONE M.S

Provider Business Mailing Address
First Line	:	4322 QUEENS ST APT 601
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-7926
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	223 13TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-4832
Country	:	US
Telephone Number	:	978-979-7753
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2023
Last Update Date	:	04/21/2023

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