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NPI Code Detail

MEDICARE: KRISTINA M ROSANO LMSW

MEDICARE:   KRISTINA M ROSANO  LMSW
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
1104100000XSocial Worker074475-1NY

General Provider Information

NPI Number : 1457488496
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA M ROSANO LMSW
Provider Business Mailing Address
First Line : 8447 126TH ST
Second Line :
City : KEW GARDENS
State : NY
Zip : 11415-2205
Country : US
Telephone Number : 718-951-9009
Fax Number : 718-951-9719
Provider Business Practice Location Address
First Line : 1463 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2428
Country : US
Telephone Number : 718-951-9009
Fax Number : 718-951-9719
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 07/08/2007

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Directions to “ KRISTINA M ROSANO LMSW” Practice Location

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