MEDICARE: MS. THERESA ANN ROSITANO 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
1	104100000X	Social Worker	082246	NY

General Provider Information

NPI Number	:	1831441161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. THERESA ANN ROSITANO LMSW

Provider Business Mailing Address
First Line	:	1443 E 57TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4003
Country	:	US
Telephone Number	:	347-680-0441
Fax Number	:	718-517-9262

Provider Business Practice Location Address
First Line	:	1443 E 57TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4003
Country	:	US
Telephone Number	:	347-680-0441
Fax Number	:	718-517-9262

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

Provider Enumeration Date	:	10/10/2012
Last Update Date	:	10/10/2012

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